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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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Europa Medicophysica 1999 December;35(4):149-69

language: English

Neuro-ortho­paed­ic sur­gery for low­er extrem­ity dys­func­tion in ­upper ­motor neu­ron syn­drome

Fuller D. A., Keenan M. A. E., Esquenazi A.

Albert Einstein Medical Center, Moss Rehab, Philadelphia, PA, USA


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Surgical man­age­ment is the ­upper ­motor neu­ron syn­drome is com­plex, chal­leng­ing ­work. A mul­ti­dis­ci­pli­nary, ­team ­approach is essen­tial for a suc­cess­ful out­come. The ­patient’s neu­ro­log­ic recov­ery ­will ­help deter­mine the ­need for and the tim­ing of sur­gery. A ­thorough under­stand­ing ­both the stat­ic and dynam­ic forc­es lead­ing to ­joint and ­limb dys­func­tion is nec­es­sary to for­mu­late a treat­ment ­plan. Clinical exam­ina­tion, instru­ment­ed ­gait anal­y­sis and expe­ri­ence com­bine to ­allow inter­ven­tion ­with pre­dict­able, suc­cess­ful sur­gi­cal pro­ce­dures. Patient’s ­with UMN syn­drome can ­have func­tion, mobil­ity and ­health ­restored ­through med­i­cal and sur­gi­cal ­care.

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