지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 200 - 208 (9page)
이용수
초록· 키워드
오류제보하기
Objective To evaluate whether age influences a change in the spasticity of the ankle plantar flexor after botulinum toxin type A (BTA) injection in children with spastic cerebral palsy (CP). Methods Sixteen children with spastic CP were enrolled in the study. Seven children (group 1) were under 5 years of age, and nine (group 2) were over 5 years of age. They all received BTA injection in the gastrocnemius muscle (GCM) under ultrasound guidance. Passive range of motion (PROM) of ankle dorsiflexion, Modified Ashworth Scale (MAS) of the ankle plantar flexor, Gross Motor Function Measure (GMFM) and median red pixel intensity (RPI) of the medial GCM on real-time sonoelastography were measured at baseline (pre-injection) and 1-, 3-, and 6-month post-injection.Results In both groups, the mean PROM, MAS, and RPI were significantly improved after injection until 6-month post-injection. The change of PROM of ankle dorsiflexion in group 1 was significantly greater than that in group 2, until 6-month post-injection. The change in the MAS and GMFM between baseline and 6-month post-injection in group 1 was greater than that in group 2. The changes in the median RPI between baseline and 3- and 6-month post-injections were greater in group 1 than in group 2. Conclusion Our pilot study demonstrated the different changes in spasticity of the ankle plantar flexor after BTA injection based on age. Therefore, age may be considered when establishing a treatment plan using BTA injection for children with spastic CP.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Rosenbaum PL / 2002 / Prognosis for gross motor function in cerebral palsy: creation of motor development curves / JAMA 288:1357~1363
Harries N / 2004 / Changes over years in gross motor function of 3-8 year old children with cerebral palsy: using the Gross Motor Function Measure (GMFM-88) / Isr Med Assoc J 6:408~411
Beckung E / 2007 / The natural history of gross motor development in children with cerebral palsy aged 1 to 15 years / Dev Med Child Neurol 49:751~756
Nordez A / 2008 / Characterization of muscle belly elastic properties during passive stretching using transient elastography / J Biomech 41:2305~2311
Mutlu A / 2008 / Reliability of Ashworth and Modified Ashworth scales in children with spastic cerebral palsy / BMC Musculoskelet Disord 9:44
Harries N / 2004 / Changes over years in gross motor function of 3-8 year old children with cerebral palsy: using the Gross Motor Function Measure (GMFM-88) / Isr Med Assoc J 6:408~411
Beckung E / 2007 / The natural history of gross motor development in children with cerebral palsy aged 1 to 15 years / Dev Med Child Neurol 49:751~756
Nordez A / 2008 / Characterization of muscle belly elastic properties during passive stretching using transient elastography / J Biomech 41:2305~2311
Mutlu A / 2008 / Reliability of Ashworth and Modified Ashworth scales in children with spastic cerebral palsy / BMC Musculoskelet Disord 9:44
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