Regional blocks in patients with infantile cerebral palsy. Are they feasible outside intraoperational period?


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Abstract

The authors present results of regional block performing for diagnostic and therapeutic purposes in children with cerebral palsy. Group 1 included patients who received regional block in order to determine the cause of upper limb contracture. This affected choice of surgery method and influenced on the results. Continuous epidural anesthesia was performed in patients who arranged Group 2. This method allowed providing successful conservative treatment of lower limb joint contractures

About the authors

D. V. Zabolotskiy

FSBI “The Turner Scientific and Research Institute for Children’s Orthopedics”, Saint-Petersburg; FSBI “Saint-Petersburg State Pediatric Medical University”

G. E Ul’rikh

FSBI “The Turner Scientific and Research Institute for Children’s Orthopedics”, Saint-Petersburg

A. S Kozyrev

FSBI “The Turner Scientific and Research Institute for Children’s Orthopedics”, Saint-Petersburg

V. V Umnov

FSBI “The Turner Scientific and Research Institute for Children’s Orthopedics”, Saint-Petersburg

V. A Novikov

FSBI “The Turner Scientific and Research Institute for Children’s Orthopedics”, Saint-Petersburg

References

  1. Бадалян Л.О. Детская неврология. М.: МеДпресс-информ. 2001; 607 с.
  2. Мирзоева И.И. Ортопедия детей первого года жизни / И.И. Мирзоева., М.П. Конюхов. Ленинград.: Медицина. 1983. 127 с.
  3. Ben Smail D., Kiefer C., Bussel B. Clinical evaluation of spasticity. Neurochirurgie. 2003; 49(2-3 Pt 2): 190-198.
  4. Das T.K. Botulinum toxin in treating spasticity / T.K. Das, D.M. Park. J. Clin. Pract. 1989; 43: 401-404.
  5. Memberg W.D. Instrumented objects for quantitative evaluation of hand grasp / W.D. Memberg, P.E. Crago. J. Rehabil. Res. Dev. 1997; 34(1): 82-90.
  6. Nolan J., Chalkiadis G.A., Low J., Olesch C.A., Brown T.C. Anaesthesia and pain management in cerebral palsy. Anaesthesia. 2000; 55(1): 32-41.
  7. Pélissier J., Viel E., Enjalbert M., Kotzki N., Eledjam J. J. Chemical neurolysis using alcohol (alcoholization) in the treatment of spasticity in the hemiplegic. Cah. Anesthesiol. 1993; 41(2): 139-143.
  8. Айзенберг В.Л., Контакевич М.М., Диордиев А.В., Овчинников В.И. Комбинированная регионарная анестезия нижних конечностей у детей с церебральным параличом. Анестезиология и реаниматология. 2006; 1: 11-13.
  9. Mathiowetz V. Adult norms for the Box and Block Test of manual dexterity / V. Mathiowetz, G. Volland, N. Kashman, K. Weber. J. Occup. Ther. 1985; 39(6): 386-391.
  10. Крыжановский Г.Н. Общая патофизиология нервной системы: Руководство. М.: Медицина, 1997; 352 с.
  11. Решетняк В.К., Кукушкин М.Л. Боль: физиологические и патофизиологические аспекты. Актуальные проблемы патофизиологии (избранные лекции)/ Под ред. Б. Б. Мороза. М.: Медицина, 2001; 354-387.
  12. Gooch J.L., Oberg W.A., Grams B., Ward L.A., Walker M.L. Care provider assessment of intrathecal baclofen in children. Dev. Med. Child. Neurol. 2004; 46(8): 548-552.
  13. Leclercq С. General assessment of the upper limb/ C. Leclercq // Hand Clin. 2003; 19: 557-564.
  14. Gough M., Fairhurst C., Shortland A. P Botulinum toxin and cerebral palsy: time for reflection? Dev. Med. Child. Neurol. 2005; 47(10): 709-712.
  15. Enjalbert M., Viel E., Toulemonde M., Kodzky N., Pelissier J., Eledjam J.J. Neurolyse chimique a l'alcool et spasticite de l'hemiplegique. An. Readaptation. Med. Phys. 1993; 36: 337-342.

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