Serial Casting as an Adjunct to Botulinum Toxin Type A Treatment in Children With Cerebral Palsy and Spastic Paraparesis With Scissoring of the Lower Extremities

被引：19

作者：

Dai, Alper I. ^{[1
]}

Demiryurek, Abdullah T. ^{[2
]}

机构：

[1] Gaziantep Univ, Dept Pediat Neurol, Fac Med, TR-27310 Gaziantep, Turkey

[2] Gaziantep Univ, Dept Med Pharmacol, Fac Med, Gaziantep, Turkey

来源：

JOURNAL OF CHILD NEUROLOGY | 2017年 / 32卷 / 07期

关键词：

botulinum toxin; cerebral palsy; scissoring; serial casting; adductor muscles; OUTCOME MEASURES; EQUINUS FOOT; INJECTION; TRIAL; PREVALENCE; EFFICACY;

D O I：

10.1177/0883073817701526

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The purpose of this study was to examine whether combination therapy of serial casting and botulinum toxin type A injection can further enhance the effects of botulinum toxin type A in children with cerebral palsy with scissoring of both legs. This study was a prospective and randomized trial. The children were divided into 2 groups, one of which received serial casting after botulinum toxin type A (n = 40), and the other which only received botulinum toxin type A (n = 40). Serial casting started 3 weeks after the botulinum toxin type A. Both groups received physiotherapy. Groups were assessed at baseline then compared at 6 and 12 weeks following the intervention. Significant improvements in Gross Motor Function Measure-66 and Caregiver Health Questionnaire were recorded in both groups (P < .001). The modified Ashworth scale improved significantly following botulinum toxin type A in the serial casting group (P < .05), but not in botulinum toxin type A only group. These results suggest that serial casting after botulinum toxin type A can enhance the benefits of botulinum toxin type A in children with cerebral palsy.

引用

页码：671 / 675

页数：5

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