Intermittent serial casting for wrist flexion deformity in children with spastic cerebral palsy: a randomized controlled trial
| Autor: | Nigar Dursun, Erbil Dursun, Tugba Gokbel, Melike Akarsu, Marcin Bonikowski, Weronika Pyrzanowska |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Modified Ashworth scale Prom Cerebral palsy 03 medical and health sciences Muscle tone 0302 clinical medicine Spastic cerebral palsy Developmental Neuroscience Occupational Therapy 030225 pediatrics medicine Spastic Humans Spasticity Prospective Studies Botulinum Toxins Type A Range of Motion Articular Child business.industry Cerebral Palsy Wrist medicine.disease Combined Modality Therapy Casts Surgical medicine.anatomical_structure Treatment Outcome Neuromuscular Agents Muscle Spasticity Child Preschool Pediatrics Perinatology and Child Health Physical therapy Female Neurology (clinical) medicine.symptom business Range of motion 030217 neurology & neurosurgery |
| Zdroj: | Developmental medicine and child neurologyREFERENCES. 63(6) |
| ISSN: | 1469-8749 |
| Popis: | AIM To assess the efficacy of intermittent serial casting in conjunction with occupational therapy and botulinum neurotoxin A (BoNT-A) in children with cerebral palsy (CP) presenting spastic wrist flexion deformity. METHOD This was a controlled, prospective study in which 34 children (19 females, 15 males; mean [SD] 11y [4y 6mo]) were randomly allocated to casting or control groups in a ratio of 2:1. Both groups were subjected to BoNT-A treatment and occupational therapy. The casting group additionally received a series of progressive casts intermittently for three consecutive weekends. Outcome measures consisted of passive range of motion (PROM) as assessed by goniometer, muscle tone by Modified Ashworth scale (MAS), and spasticity by Tardieu Scale. Assessments were done at baseline, week 4, and week 12. RESULTS Baseline characteristics of casting and control groups were comparable. PROM, MAS, and Tardieu angle of catch (XV3) of the casting and control groups significantly improved after treatment (p |
| Databáze: | OpenAIRE |
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