FEATURES OF REHABILITATION TREATMENT IN CHILDREN WITH CONGENITAL AND ACQUIRED DISORDERS OF THE FIRST RAY OF THE HAND
- 作者: Ovsyannikova A.D.1, Golyana S.I.1, Govorov A.V.1
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隶属关系:
- FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation
- 期: 卷 2, 编号 2 (2014)
- 页面: 38-43
- 栏目: Articles
- ##submission.dateSubmitted##: 15.01.2015
- ##submission.datePublished##: 15.06.2014
- URL: https://journals.eco-vector.com/turner/article/view/249
- DOI: https://doi.org/10.17816/PTORS2238-43
- ID: 249
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In this paper we evaluated the results of rehabilitation treatment in 55 children aged from 1 to 6 years after the following surgical treatment: pollicization of the second finger and microsurgical autografting of the second toe in the position of the thumb. A comparative analysis of standard techniques of rehabilitation treatment and the technique developed at the department was carried out. Application of individual-oriented approach depending on the functionality of the hand provided better results in rehabilitation. In the main subgroup of children after the operation of the second finger pollicization, excellent results were obtained in 11 patients (50 %), good - 9 patients (40.9 %), satisfactory - 2 patients (9.1 %). In the control subgroup, excellent results were obtained in 5 patients (20.83 %), good - in 9 (37.5 %), satisfactory - in 8 (33.33 %), poor - in 2 (8.33 %). In the group of children who underwent free autografting of toes, in the main subgroup the excellent results were obtained in 3 patients (60 %), good - in 2 patients (40 %). In the control subgroup good results were obtained in 3 patients (75 %), satisfactory - in 1(25 %). Also we revealed a correlation between the timing of the appearance of bilateral grip and functional ability of the hand in older age.
作者简介
Anna Ovsyannikova
FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation
Email: med_ovsyannikova@mail.ru
MD, orthopedic and trauma surgeon of the department of reconstructive microsurgery and hand surgery.
Sergei Golyana
FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation
Email: ser.golyana@yandex.ru
MD, PhD, head of the department of reconstructive microsurgery and hand surgery.
Anton Govorov
FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian FederationMD, research associate of the department of reconstructive microsurgery and hand surgery
参考
- Голяна С. И. Лечение детей с врожденными и приобретенными дефектами большого пальца кисти с использованием микрохирургической аутотрансплантации пальцев стопы: дис.канд. мед. наук / С. И. Голяна. СПб., 1996. 210 с.
- Корюков А. А. Реабилитация детей с дефектами кисти. Гиппократ, 2010. 368 с.
- Матев И. Б. Реабилитация при повреждениях руки. София, 1981. 256 с.
- Пархотик И. И. Физическая реабилитация при травмах верхних конечностей. Киев: Олимпийская литература, 2007. 282 с.
- Пат. 2010101768 Российская Федерация, МПК 51 А 61 В 5/00. Способ оценки функции схвата кисти у детей при врожденных и приобретенных дефектах» / Н. Л. Климон, А. А. Корюков, Н. Л. Лосева, Е. М. Старобина; ФГУ «СПбНЦЭПР им. Альбрехта Росздрава»-2425624; заявл. 20.01.2010; опубл. 10.08.2011, Бюл. № 22.
- Система игровых методов для социально-педагогической реабилитации детей с врожденными и приобретенными дефектами верхних конечностей: Метод. рекомендации / Под ред. д. п. н. Е. М. Старобиной. СПб., 2009. 94 с.
- Усольцева Е. В., Машкара К. И. Хирургия заболеваний и повреждений кисти. 3-е изд., перераб. и доп. Л.: Медицина, 1986. 352 с.
- Шведовченко И. В. Врожденные недоразвития кисти у детей: Дис.. д-ра мед. наук. СПб., 1993. 424 с.
- ABILHAND-Kids - Instructions [Электронный ресурс] : ABILHAND-Kids: a measure of manual ability for children with upper limb impairment URL: http:// www.rehab-scales.org/abilhand-kids-instructions.html (дата обращения: 24.04.2013).
- Roper B. A. Functional assessment after pollicization J. Hand Surg. 1986;11-B(3):399-403.
- Taub E., Uswatte G., Pidikiti R. Constraint-Induced Movement Therapy: a new family of techniques with broad application to physical rehabilitation - a clinical review. J Rehabil Res Dev. 1999 Jul;36(3):237-512.