Botulinum toxin and short-term electrical stimulation in the treatment of equinus in cerebral palsy.
Identifieur interne : 003B82 ( PubMed/Curation ); précédent : 003B81; suivant : 003B83Botulinum toxin and short-term electrical stimulation in the treatment of equinus in cerebral palsy.
Auteurs : C. Detrembleur [Belgique] ; T M Lejeune ; A. Renders ; P Y K. Van Den BerghSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- Botulinum Toxins, Type A (administration & dosage), Botulinum Toxins, Type A (therapeutic use), Cerebral Palsy (complications), Child, Child, Preschool, Electric Stimulation Therapy (methods), Electromyography, Equinus Deformity (complications), Equinus Deformity (drug therapy), Equinus Deformity (therapy), Female, Gait, Humans, Male, Neuromuscular Agents (administration & dosage), Neuromuscular Agents (therapeutic use), Random Allocation, Severity of Illness Index.
- MESH :
- chemical , administration & dosage : Botulinum Toxins, Type A, Neuromuscular Agents.
- chemical , therapeutic use : Botulinum Toxins, Type A, Neuromuscular Agents.
- complications : Cerebral Palsy, Equinus Deformity.
- drug therapy : Equinus Deformity.
- methods : Electric Stimulation Therapy.
- therapy : Equinus Deformity.
- Child, Child, Preschool, Electromyography, Female, Gait, Humans, Male, Random Allocation, Severity of Illness Index.
Abstract
Intramuscular botulinum toxin type A (BT-A) has been shown to reduce spasticity and to improve gait in children with cerebral palsy. To determine whether the efficacy of BT-A may be enhanced by electrical stimulation, as suggested in focal dystonia or in adult spastic patients, 12 children with dynamic foot equinus deformity were randomly assigned to two groups in a blinded, clinically controlled trial. Intramuscular BT-A into calf muscles was followed by adjuvant electrical stimulation in Group A (n = 6) but not in Group B (n = 6). Clinical assessment and instrumented gait analysis were performed before and 1, 3, and 6 months after treatment. The combined treatment of BT-A and electrical stimulation was not superior to BT-A alone. For all patients, improvement of the clinical and gait variables occurred at 1 and 3 months after BT-A injection.
PubMed: 11835456
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pubmed:11835456Le document en format XML
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<term>Child</term>
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<front><div type="abstract" xml:lang="en">Intramuscular botulinum toxin type A (BT-A) has been shown to reduce spasticity and to improve gait in children with cerebral palsy. To determine whether the efficacy of BT-A may be enhanced by electrical stimulation, as suggested in focal dystonia or in adult spastic patients, 12 children with dynamic foot equinus deformity were randomly assigned to two groups in a blinded, clinically controlled trial. Intramuscular BT-A into calf muscles was followed by adjuvant electrical stimulation in Group A (n = 6) but not in Group B (n = 6). Clinical assessment and instrumented gait analysis were performed before and 1, 3, and 6 months after treatment. The combined treatment of BT-A and electrical stimulation was not superior to BT-A alone. For all patients, improvement of the clinical and gait variables occurred at 1 and 3 months after BT-A injection.</div>
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<Abstract><AbstractText>Intramuscular botulinum toxin type A (BT-A) has been shown to reduce spasticity and to improve gait in children with cerebral palsy. To determine whether the efficacy of BT-A may be enhanced by electrical stimulation, as suggested in focal dystonia or in adult spastic patients, 12 children with dynamic foot equinus deformity were randomly assigned to two groups in a blinded, clinically controlled trial. Intramuscular BT-A into calf muscles was followed by adjuvant electrical stimulation in Group A (n = 6) but not in Group B (n = 6). Clinical assessment and instrumented gait analysis were performed before and 1, 3, and 6 months after treatment. The combined treatment of BT-A and electrical stimulation was not superior to BT-A alone. For all patients, improvement of the clinical and gait variables occurred at 1 and 3 months after BT-A injection.</AbstractText>
<CopyrightInformation>Copyright 2001 Movement Disorder Society.</CopyrightInformation>
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