| Botulinum toxin, physical and occupational therapy, and neuromuscular electrical stimulation to treat spastic upper limb of children with cerebral palsy: a pilot study. | |
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MedLine Citation:
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PMID: 20447049 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Spasticity has been successfully managed with different treatment modalities or combinations. No information is available on the effectiveness or individual contribution of botulinum toxin type A (BTA) combined with physical and occupational therapy and neuromuscular electrical stimulation to treat spastic upper limb. The purpose of this study was to assess the effects of such treatment and to inform sample-size calculations for a randomized controlled trial. BTA was injected into spastic upper limb muscles of 10 children. They received 10 sessions of physical and occupational therapy followed by 10 sessions of neuromuscular electrical stimulation on the wrist extensors (antagonist muscles). Degree of spasticity using the Modified Ashworth scale, active range of motion, and manual function with the Jebsen hand test, were assessed. Meaningful improvement was observed in hand function posttreatment (P = 0.03). Median spasticity showed a reduction trend and median amplitude of wrist range of motion registered an increase; however, neither of these were significant (P > 0.05). There is evidence of a beneficial effect of the combined treatment. Adequate information has been obtained on main outcome-measurement variability for calculating sample size for a subsequent study to quantify the treatment effect precisely. |
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Authors:
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Gerardo Rodríguez-Reyes; Aldo Alessi-Montero; Leticia Díaz-Martínez; Antonio Miranda-Duarte; Alberto Isaac Pérez-Sanpablo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Artificial organs Volume: 34 ISSN: 1525-1594 ISO Abbreviation: Artif Organs Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-05-07 Completed Date: 2010-07-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802778 Medline TA: Artif Organs Country: United States |
Other Details:
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Languages: eng Pagination: 230-4 Citation Subset: IM |
Affiliation:
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Department of Prosthetics and Orthotics, Instituto Nacional de Rehabilitación, Mexico City, Mexico. grodriguezreyes@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Biomechanics Botulinum Toxin Type A / administration & dosage, therapeutic use* Cerebral Palsy / diagnosis, physiopathology, therapy* Child Child, Preschool Combined Modality Therapy Disability Evaluation Electric Stimulation Therapy* Feasibility Studies Female Humans Injections, Intramuscular Male Muscle Spasticity Neuromuscular Agents / administration & dosage, therapeutic use* Occupational Therapy* Physical Therapy Modalities* Pilot Projects Range of Motion, Articular Severity of Illness Index Treatment Outcome Upper Extremity / innervation, physiopathology* Wrist / physiopathology |
| Chemical | |
Reg. No./Substance:
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0/Botulinum Toxin Type A; 0/Neuromuscular Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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