지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 191 - 196 (6page)
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초록· 키워드
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Purpose: Hip adductor spasticity has a great impact on developing hip displacement in children with cerebral palsy (CP). Obturator nerve (ON) block is less invasive intervention rather than soft tissue surgery for reduction of hip adductor spasticity. The aim of this study is to investigate the effect of ON block on hip lateralization in low functioning children with spastic CP. Materials and Methods: The study was performed by retrospective investigation of the clinical and radiographic follow-up data of low functioning children [gross motor function classification system (GMFCS)level III to V] with spastic cerebral palsy whose hip was subluxated. Migration percentage (MP) was measured on hip radiographs and its annual change was calculated. In intervention group, ON block was done with 50% ethyl alcohol under the guidance of electrical stimulation. Results: The data of 49 legs of 25 children for intervention group and the data of 41 legs of 23 children for nonintervention group were collected. In intervention group, the MP were significantly reduced at 1st follow-up and the MPs at 2nd and last follow-up did not show significant differences from initial MP. Whereas in nonintervention group, the MPs at 1st, 2nd and last follow-up were all significantly increased compared to initial MPs. Conclusion:ON block with ethyl alcohol is useful as an early effective procedure against progressive hip displacement in these children with spastic CP.
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참고문헌 (44)
참고문헌 신청
Khot A / 2008 / Adductor release and chemodenervation in children with cerebral palsy: a pilot study in 16 children / J Child Orthop 2:293~299
Silver RL / 1985 / Adductor release in nonambulant children with cerebral palsy / J Pediatr Orthop 5:672~677
Turker RJ / 2000 / Adductor tenotomies in children with quadriplegic cerebral palsy: longer term follow-up / J Pediatr Orthop 20:370~374
Onimus M / 1991 / Prevention of hip dislocation in cerebral palsy by early psoas and adductors tenotomies / J Pediatr Orthop 11:432~435
Presedo A / 2005 / Soft-tissue releases to treat spastic hip subluxation in children with cerebral palsy / J Bone Joint Surg Am 87:832~841
Silver RL / 1985 / Adductor release in nonambulant children with cerebral palsy / J Pediatr Orthop 5:672~677
Turker RJ / 2000 / Adductor tenotomies in children with quadriplegic cerebral palsy: longer term follow-up / J Pediatr Orthop 20:370~374
Onimus M / 1991 / Prevention of hip dislocation in cerebral palsy by early psoas and adductors tenotomies / J Pediatr Orthop 11:432~435
Presedo A / 2005 / Soft-tissue releases to treat spastic hip subluxation in children with cerebral palsy / J Bone Joint Surg Am 87:832~841
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