PROXIMAL HAMSTRING LENGTHENING IN THE SITTING CEREBRAL-PALSY PATIENT

被引：9

作者：

ELMER, EB ^{[1
]}

WENGER, DR ^{[1
]}

MUBARAK, SJ ^{[1
]}

SUTHERLAND, DH ^{[1
]}

机构：

[1] CHILDRENS HOSP SAN DIEGO,DIV ORTHOPED RES,3030 CHILDRENS WAY,SAN DIEGO,CA 92123

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1992年 / 12卷 / 03期

关键词：

CEREBRAL PALSY; SEATING PROBLEMS;

D O I：

10.1097/01241398-199205000-00009

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We retrospectively studied 62 nonambulatory children with spastic quadriplegic cerebral palsy who underwent proximal hamstring lengthening to improve hip and spine positioning. Preoperatively, all had hamstring contracture, with difficulty sitting due to hip extensor thrust and increased kyphosis. Thirty-five patients with follow-up greater-than-or-equal-to 2 years were studied using a modified Reimer scale to assess sitting ability. Sitting ability improved significantly (p < 0.01) postoperatively, along with popliteal angle (p < 0.001) and straight leg raising (p < 0.001). Proximal hamstring lengthening is effective in treating severe hamstring contractures in the wheelchair-bound child with cerebral palsy.

引用

页码：329 / 336

页数：8

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