Impairment, Disability, and Satisfaction Outcomes After Lower-Extremity Botulinum Toxin A Injections for Children with Cerebral Palsy
作者:
Maria Fragala,
Margaret O’Neil,
Kara Russo,
Helene Dumas,
期刊:
Pediatric Physical Therapy
(OVID Available online 2002)
卷期:
Volume 14,
issue 3
页码: 132-144
ISSN:0898-5669
年代: 2002
出版商: OVID
关键词: cerebral palsy/drug therapy;child;parents;treatment outcome;botulinum toxins/therapeutic use;botulinum toxins/administration and dosage;muscle spasticity/drug therapy;range of motion;articular;recovery of function;quality of life;disability evaluation
数据来源: OVID
摘要:
PurposeThe purpose of this study was to document impairment, disability, and parent satisfaction outcomes for children with cerebral palsy who received botulinum toxin A (BtA) injections.MethodsSeven children, three to 11 years old, participated in this multiple single-subject AB design study. Impairment, disability, and satisfaction outcomes were documented using passive range of motion measurements, Modified Ashworth Scale scores, and the Canadian Occupational Performance Measure. These outcomes were measured every two weeks during the two-month baseline phase and the four-month intervention phase. Outcomes for each child were graphed and visually analyzed for changes in level, trend, and slope.ResultsAfter BtA injections, all children demonstrated an increase in passive range of motion and a decrease in spasticity in at least some of the injected muscles. Six of the seven children demonstrated improvements in disability and parent satisfaction outcomes.ConclusionsImprovement in a variety of outcomes may be observed after BtA injections in children with cerebral palsy and lower-extremity spasticity who are ambulatory.
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