Management of Spasticity by Selected Peripheral Nerve Block with Dilute Phenol Solutions in the Treatment of Cerebral Palsy

概要

論文の詳細を見る
Peripheral injection of 3 per cent phenol solutions for the relief of sasticity in the lower extremities that had resulted from cerebral palsied over three years. The mentally retarded child is usually unable to ambulate with braces and crutches until he had attained a mental age of three years. The patients had good function of upper extremities and had a little mentally retarded.Spasticity presents a major problem in the rehabilitation of many patients with neuromuscular disability. After the phenol block of obturator or sciatic nerve, bracing of spastic child is necessary at an earlier age, as the spastic child is more prone to develop contractures. Cerebral palsy children should have bilateral long leg brace with a pelvic band before ambulating. Those children who do not have good control of the trunk should have, in addition, a Knight spinal attachment. Nearly all cerebral palsy children will learn to ambulate in some manner without braces or treatment. The purposes of bracing and treatment after the block of dilute phenol solution is todevelop the correct pattern of walking so that in pater life they will, as nearly as possible, have the appearance of being normal.
西日本整形・災害外科学会の論文