Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Europa Medicophysica 1999 December;35(4) > Europa Medicophysica 1999 December;35(4):149-69

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Europa Medicophysica 1999 December;35(4):149-69

Copyright © 1999 EDIZIONI MINERVA MEDICA

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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