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Short-term effects of combined serial casting and botulinum toxin injection for spastic equinus in ambulatory children with cerebral palsy

Authors
 Eun Sook Park  ;  Dong-wook Rha  ;  Jun Ki Yoo  ;  Sun Mi Kim  ;  Won Hyuk Chang  ;  Sang Hyuk Song 
Citation
 YONSEI MEDICAL JOURNAL, Vol.51(4) : 579-584, 2010 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2010
MeSH
Botulinum Toxins, Type A/therapeutic use* ; Casts, Surgical* ; Cerebral Palsy/complications ; Cerebral Palsy/physiopathology ; Cerebral Palsy/therapy* ; Child ; Child, Preschool ; Equinus Deformity/therapy* ; Female ; Humans ; Male ; Neuromuscular Agents/therapeutic use* ; Range of Motion, Articular
Keywords
Serial cast ; botulinum toxin ; equinus ; cerebral palsy
Abstract
PURPOSE: The purpose of this paper is to test the hypothesis that combination therapy of serial cast and botulinum toxin type A (BTX-A) injection can further enhance the effects of a BTX-A injection in ambulant children with cerebral palsy (CP) who have an equinus foot.

MATERIALS AND METHODS: Children in group A (30 legs of 21 children) received a serial casting application after an injection of BTX-A, and children in group B (25 legs of 17 children) received only a BTX-A injection. Assessments were performed before the intervention and 1 month after the intervention.

RESULTS: After the intervention, there were significant improvements in tone, dynamic spasticity, and passive range of motion (ROM) in both groups. However, the changes were greater in group A than in group B. Dimension D (standing) in Gross Motor Function Measure (GMFM)-66 was significantly improved in group A but not in group B. On the other hand, there were no significant changes in dimension E (walking, running, jumping) in GMFM-66 in either group.

CONCLUSION: The results of our study suggest that a serial casting application after BTX-A injection can enhance the benefits of BTX-A injection in children with cerebral palsy.
Files in This Item:
T201001206.pdf Download
DOI
10.3349/ymj.2010.51.4.579
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Dong Wook(나동욱) ORCID logo https://orcid.org/0000-0002-7153-4937
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Chang, Won Hyuk(장원혁)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101039
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