Movement Disorders (revue)

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Botulinum toxin and short-term electrical stimulation in the treatment of equinus in cerebral palsy.

Identifieur interne : 003B82 ( PubMed/Curation ); précédent : 003B81; suivant : 003B83

Botulinum 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 Bergh

Source :

RBID : pubmed:11835456

English descriptors

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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<term>Child</term>
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<term>Electric Stimulation Therapy (methods)</term>
<term>Electromyography</term>
<term>Equinus Deformity (complications)</term>
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<term>Gait</term>
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<term>Male</term>
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<term>Neuromuscular Agents (therapeutic use)</term>
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<term>Electric Stimulation Therapy</term>
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<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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