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The Effect of Obturator Nerve Block on Hip Lateralization in Low Functioning Children with Spastic Cerebral Palsy

DC Field Value Language
dc.contributor.author나동욱-
dc.contributor.author박은숙-
dc.contributor.author심은결-
dc.date.accessioned2015-01-06T16:34:46Z-
dc.date.available2015-01-06T16:34:46Z-
dc.date.issued2014-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/98369-
dc.description.abstractPURPOSE: 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.-
dc.description.statementOfResponsibilityopen-
dc.format.extent191~196-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCerebral Palsy/drug therapy*-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHEthanol/therapeutic use-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMuscle Spasticity/drug therapy-
dc.subject.MESHNerve Block/methods*-
dc.subject.MESHObturator Nerve/drug effects*-
dc.subject.MESHRetrospective Studies-
dc.titleThe Effect of Obturator Nerve Block on Hip Lateralization in Low Functioning Children with Spastic Cerebral Palsy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Rehabilitation Medicine (재활의학)-
dc.contributor.googleauthorEun Sook Park-
dc.contributor.googleauthorDong-Wook Rha-
dc.contributor.googleauthorWon Chul Lee-
dc.contributor.googleauthorEun Geol Sim-
dc.identifier.doi10.3349/ymj.2014.55.1.191-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01230-
dc.contributor.localIdA01611-
dc.contributor.localIdA02204-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid24339306-
dc.subject.keywordCerebral palsy-
dc.subject.keywordhip dislocation-
dc.subject.keywordnerve block-
dc.subject.keywordobturator nerve-
dc.contributor.alternativeNameRha, Dong Wook-
dc.contributor.alternativeNamePark, Eun Sook-
dc.contributor.alternativeNameSim, Eun Geol-
dc.contributor.affiliatedAuthorRha, Dong Wook-
dc.contributor.affiliatedAuthorPark, Eun Sook-
dc.contributor.affiliatedAuthorSim, Eun Geol-
dc.citation.volume55-
dc.citation.number1-
dc.citation.startPage191-
dc.citation.endPage196-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.55(1) : 191-196, 2014-
dc.identifier.rimsid56556-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers

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