Effect of Grade of Gross Motor Function Classification System on Outcome of Selective Posterior Rhizotomy for Children with Cerebral Palsy / 中国康复理论与实践

@#Objective To observe the outcome of selective posterior rhizotomy (SPR) for cerebral palsy children with different gross motor function before operation. Methods 132 cases accepted SPR were grouped with their grades of Gross Motor Function Classification System (GMFCS), and their outcomes were compared. Results The muscle tension, gross motor function and activities of daily living improved in all the groups after SPR (P<0.01). The muscle tone decreased the most in grade I (P<0.01). The gross motor ability improved the most in grade II(P<0.001). The activiti es of daily living improved the most in grades I and IV (P<0.05). Conclusion The outcome of SPR for children with cerebral palsy is various with the gross motor function before operation.

Effects of Conductive Education on Rehabilitation of Cerebral Palsy / 中国康复理论与实践

@#Objective To investigate the effects of conductive education with routine rehabilitation on cerebral palsy. Methods 59 caseswere divided into the conductive group (n=38) and the control group (n=21). The conductive group received conductive education with routinerehabilitation and the control group received routine rehabilitation only. They were assessed with the gross motor function, intelligentand activity of daily living (ADL) before and after treatment. Results The improvement of gross motor was not significantly different betweenthese groups (P>0.05), while the intelligence, ADL improved more in the conductive group than in the control group (P=0.001). ConclusionConductive education can promote the development of the children in ADL and intelligent.

Study of the relationship of external hydrocephl with brain-injure in the neonate / 中国基层医药

Objective To investigate the relationship of external hydrocephl(EH) with brain-injure in the neonate.Methods By performing on the patients with brain-injure with CT and making the clinical study,the change of brain following injure and its relationship with EH were analyzed.Results Hypoxic-ischemic encephalopathy(HIE) were 36 cases,EH were 19 in the cases,6 get the cerebrospinal symptom;SAH were 22 cases,EH were 15 in the cases,3 get the cerebrospinal symptom;Intracranial hemorrhage were 8 cases,EH were 3 in the cases,3 got the cerebrospinal symptom.Conclusion All the kinds of brain-injure can get EH and the rate of EH with any brain-injure is no different.But the outcome is significantly different.

选择性脊神经后根切断术治疗小儿脑瘫疗效分析 / 中国康复理论与实践

@#目的探讨选择性脊神经后根切断术(SPR)治疗小儿脑性瘫痪(CP)的疗效。方法对我院获取1年完整随访资料的62例SPR患儿进行回顾性分析。结果按AshWorth 5级肌力标准判断,术后下肢肌张力平均下降2.4级,上肢肌张力平均下降0.4级。术后1年患肢肌张力缓解62例(缓解率100%),行走功能和步态改善48例(77.4%)。伴随症状部分改善。结论SPR能有效缓解CP患儿肢体肌张力,改善康复条件。