Upper Limbs Function After Intrathecal Baclofen Therapy in Children With Secondary Dystonia
| Autor: | Clara E. Antonello, Cecilia Stignani, Francesco Motta |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
Baclofen medicine.medical_specialty Neurological disorder Severity of Illness Index Statistics Nonparametric Cerebral palsy Central nervous system disease Disability Evaluation otorhinolaryngologic diseases medicine Humans Orthopedics and Sports Medicine Functional ability Child Injections Spinal Dystonia Muscle Relaxants Central business.industry Cerebral Palsy Gross Motor Function Classification System General Medicine medicine.disease nervous system diseases Treatment Outcome medicine.anatomical_structure Dystonic Disorders Anesthesia Pediatrics Perinatology and Child Health Orthopedic surgery Arm Physical therapy Upper limb Female business |
| Zdroj: | Journal of Pediatric Orthopaedics. 29:817-821 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/bpo.0b013e3181b76a01 |
| Popis: | BACKGROUND Different studies show the efficacy of intrathecal baclofen therapy (ITB) in patients with secondary dystonia because of cerebral palsy. These studies only report improvements related to dystonia reduction; however, none of them have assessed whether such benefit is reflected in limb function. The purpose of our study is to determine whether the effects ITB therapy in patients with secondary dystonia to cerebral palsy, in addition to reducing dystonia, may also improve upper limb function. METHODS Eleven patients with secondary dystonia, classified as levels 3 and 4 of the Gross Motor Function Classification System, were treated with ITB. The mean age at implant was 11.3 (SD+/-3.02) years.Before treatment and 12 months after implant, the patients were evaluated by the Melbourne Assessment of Unilateral Upper Limb and the Barry Albright scale to assess upper limb function and dystonia, respectively. RESULTS We found a statistically significant improvement in both scales. The Melbourne scale total percentage score, for both limbs, increased in all patients (P |
| Databáze: | OpenAIRE |
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