Cerebral Palsy
Cerebral Palsy
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DOI：
10.1111/j.1469-8749.1983.tb13866.x
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发表时间：
1983-04
影响因子：
3.8
通讯作者：
Jean C. Smith;W. Coleman;A. Sandler;C. Grus
中科院分区：
文献类型：
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作者：
Jean C. Smith;W. Coleman;A. Sandler;C. Grus
脑性瘫痪是一系列姿势和运动障碍的非进行性综合征，是儿童残疾的常见原因。这种疾病是由于发育中的神经系统不同区域受到各种损伤而引起的，这部分解释了临床发现的变异性。管理选项包括物理治疗，职业和语言治疗，矫正，设备辅助模式，药物干预，整形外科和神经外科手术。自1980年以来，通过口服药物、肌内化学去神经剂（酒精、苯酚、肉毒杆菌毒素A）、鞘内给药（巴氯芬）和手术（神经切除术、神经根切断术）来改善痉挛状态变得更加频繁。针对脑瘫儿童的家庭使用整体方法包括广泛采用补充和替代疗法;然而，这些选择的使用率和成本尚不清楚。传统的医疗技术（物理治疗、支具和骨科肌肉骨骼手术）仍然是目前治疗策略的主流。本研讨会只讨论与脑瘫相关的肌肉骨骼问题，并间接讨论与此诊断相关的认知，医学和社会问题。
Cerebral palsy, a range of non-progressive syndromes of posture and motor impairment, is a common cause of disability in childhood. The disorder results from various insults to different areas within the developing nervous system, which partly explains the variability of clinical findings. Management options include physiotherapy, occupational and speech therapy, orthotics, device-assisted modalities, pharmacological intervention, and orthopaedic and neurosurgical procedures. Since 1980, modification of spasticity by means of orally administered drugs, intramuscular chemodenervation agents (alcohol, phenol, botulinum toxin A), intrathecally administered drugs (baclofen), and surgery (neurectomy, rhizotomy) has become more frequent. Family-directed use of holistic approaches for their children with cerebral palsy includes the widespread adoption of complementary and alternative therapies; however, the prevalence of their use and the cost of these options are unknown. Traditional medical techniques (physiotherapy, bracing, and orthopaedic musculoskeletal surgery) remain the mainstay of treatment strategies at this time. This seminar addresses only the musculoskeletal issues associated with cerebral palsy and only indirectly discusses the cognitive, medical, and social issues associated with this diagnosis.