Cited 18 times in
Comparison of botulinum toxin type A injection and soft-tissue surgery to treat hip subluxation in children with cerebral palsy.
DC Field | Value | Language |
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dc.contributor.author | 김현우 | - |
dc.contributor.author | 나동욱 | - |
dc.contributor.author | 박은숙 | - |
dc.date.accessioned | 2015-05-19T17:13:39Z | - |
dc.date.available | 2015-05-19T17:13:39Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 0003-9993 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/107745 | - |
dc.description.abstract | OBJECTIVE: To compare the effects of botulinum toxin type A (BTX-A) injection into the hip adductor muscles on hip displacement with soft-tissue surgery and assess the factors related to a favorable outcome after intervention in children with bilateral spastic cerebral palsy (CP). DESIGN: Retrospective chart review with regard to radiographic findings. SETTING: University hospital. PARTICIPANTS: Children with CP (N=194). INTERVENTIONS: BTX-A injection and soft-tissue surgery into the hip adductor muscles. MAIN OUTCOME MEASURE: The Reimers hip migration percentage (MP). RESULTS: Sixty-nine children did not receive any therapeutic intervention for hip displacement, whereas 60 children underwent soft-tissue surgery and 65 children took BTX-A injection for the spasticity of their hip muscles. MP was measured on each radiograph of the pelvis. The annual change of MP was improved in both the soft-tissue surgery and BTX-A groups, whereas it worsened in the nonintervention group. The annual improvement of MP in the BTX-A group did not differ significantly from that of the soft-tissue surgery group. The improvement in hip displacement after therapeutic intervention was greater in young children and high-functioning groups compared with older children and low-functioning groups. Hip displacement was progressive in the severely hip subluxated group despite therapeutic intervention. CONCLUSIONS: Comparable effects of BTX-A injection to soft-tissue surgery in our study suggest that BTX-A injection, if timely reinjected, may replace soft-tissue surgery as a prophylactic procedure against progressive hip subluxation or dislocation in children. Age at intervention, functional level, and initial MP before therapeutic intervention were the factors affecting the outcomes. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 2108~2113 | - |
dc.relation.isPartOf | ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Botulinum Toxins, Type A/therapeutic use* | - |
dc.subject.MESH | Cerebral Palsy/complications | - |
dc.subject.MESH | Cerebral Palsy/rehabilitation* | - |
dc.subject.MESH | Child, Preschool | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hip Dislocation/prevention & control* | - |
dc.subject.MESH | Hip Joint* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Infant | - |
dc.subject.MESH | Joint Instability/diagnostic imaging | - |
dc.subject.MESH | Joint Instability/drug therapy* | - |
dc.subject.MESH | Joint Instability/surgery* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Muscle Spasticity | - |
dc.subject.MESH | Muscle, Skeletal/surgery | - |
dc.subject.MESH | Neuromuscular Agents/therapeutic use* | - |
dc.subject.MESH | Radiography | - |
dc.subject.MESH | Retrospective Studies | - |
dc.title | Comparison of botulinum toxin type A injection and soft-tissue surgery to treat hip subluxation in children with cerebral palsy. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Rehabilitation Medicine (재활의학) | - |
dc.contributor.googleauthor | Eun Joo Yang | - |
dc.contributor.googleauthor | Dong-wook Rha | - |
dc.contributor.googleauthor | Hyun Woo Kim | - |
dc.contributor.googleauthor | Eun Sook Park | - |
dc.identifier.doi | 10.1016/j.apmr.2008.04.019 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01124 | - |
dc.contributor.localId | A01230 | - |
dc.contributor.localId | A01611 | - |
dc.relation.journalcode | J00230 | - |
dc.identifier.eissn | 1532-821X | - |
dc.identifier.pmid | 18996239 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0003999308005534 | - |
dc.subject.keyword | Botulinum toxin type A | - |
dc.subject.keyword | Cerebral palsy | - |
dc.subject.keyword | Rehabilitation | - |
dc.contributor.alternativeName | Kim, Hyun Woo | - |
dc.contributor.alternativeName | Rha, Dong Wook | - |
dc.contributor.alternativeName | Park, Eun Sook | - |
dc.contributor.affiliatedAuthor | Kim, Hyun Woo | - |
dc.contributor.affiliatedAuthor | Rha, Dong Wook | - |
dc.contributor.affiliatedAuthor | Park, Eun Sook | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 89 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 2108 | - |
dc.citation.endPage | 2113 | - |
dc.identifier.bibliographicCitation | ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, Vol.89(11) : 2108-2113, 2008 | - |
dc.identifier.rimsid | 55300 | - |
dc.type.rims | ART | - |
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