| Autor: |
A D, Kanellopoulos, A F, Mavrogenis, E A, Mitsiokapa, D, Panagopoulos, H, Skouteli, S G, Vrettos, G, Tzanos, P J, Papagelopoulos |
| Rok vydání: |
2009 |
| Předmět: |
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| Zdroj: |
European journal of physical and rehabilitation medicine. 45(4) |
| ISSN: |
1973-9095 |
| Popis: |
Botulinum toxin A injections and orthotics have been used to manage upper extremity spasticity in hemiplegic children. The authors performed a study to evaluate the necessity and effectiveness of a static night splint following outpatient botulinum toxin A treatment in children with upper limb spastic cerebral palsy.Twenty children with upper limb spastic cerebral palsy were treated with botulinum toxin A injections. A static night splint was applied in half of them. Objective assessment of upper limb function was performed at baseline, at 2 and 6 months after botulinum toxin A injection using the Quality of Upper Extremity Skills Test.After botulinum toxin A treatment, both groups showed an improvement on their previous functional level of the injected upper extremity. At 2 months, children in group A showed a 15.4% improvement, whereas children in group B improved by 12.2% from baseline; these were not statistically significant (P=0.326). At 6 months, group A still maintained a 15.9% improvement in function compared to group B which differed only by 4.2% from prebotulinum toxin A baseline; these differences were statistically significant (P=0.000). Complications related to the botulinum toxin A injection were not observed. The staticStatic night splinting following botulinum toxin A injections has shown a definite treatment effect in reducing spasticity and improving function in children with upper limb spastic cerebral palsy. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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