Effects of phase fibrotomy on a range of motion and motor functions

Abstract

The aim of this paper is to show the effects of surgical method of phase fibrotomy, developed and promoted by the Russian professor V.B. Uljzibat, on quality of life, the degree of functional dependence, and psychomotor performance in a patient with cerebral palsy through perceptive skills. Functional status was assessed before and after surgery using a battery of appropriate instruments of clinical assessment. Areas where most progress was achieved were the satisfaction of personal needs and mobility. The level of psychological organization was improved in all considered aspects. The achieved therapeutic effects justify the application of this method with precisely defined indications and implementation of further, more detailed and extensive clinical research in this area.

Cilj ovog rada je da se prikaže uticaj hirurške metode fazne fibrotomije, koja je razvijena i unapređena od strane ruskog profesora dr V.B. Uljzibata ,na kvalitet života, stepen funkcionalne zavisnosti, i psihomotorne sposobnosti bolesnika sa cerebralnom paralizom kroz grafomotorne veštine. Funkcionalni status je procenjivan pre i posle operacije korišćenjem baterije odgovarajućih instrumenata kliničke procene. Oblasti u kojima je bio postignut najveći napredak su zadovoljenje ličnih potreba i pokretljivost. Nivo psihološke organizacije je bio poboljšan u svim posmatranim aspektima. Ostvareni terapijski efekti opravdavaju primenu ove metode kod precizno utvrđenih indikacija kao i sprovođenje daljih, detaljnijih i opsežnijih kliničkih istraživanja u ovoj oblasti.