1. Effects of early spasticity treatment on children with hemiplegic cerebral palsy: a preliminary study.
- Author
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Zonta MB, Bruck I, Puppi M, Muzzolon S, Neto Ade C, and Coutinho dos Santos LH
- Subjects
- Age Factors, Cerebral Palsy physiopathology, Child, Preschool, Disability Evaluation, Female, Hemiplegia physiopathology, Humans, Male, Motor Activity drug effects, Motor Skills drug effects, Muscle Spasticity drug therapy, Muscle Spasticity physiopathology, Reference Values, Treatment Outcome, Botulinum Toxins, Type A therapeutic use, Cerebral Palsy drug therapy, Hemiplegia drug therapy, Neuromuscular Agents therapeutic use, Neurotoxins therapeutic use
- Abstract
Objective: To compare motor and functional performance of two groups of children with hemiplegic cerebral palsy (HCP). Only the study group (SG) received early treatment of spasticity with botulinum neurotoxin type A (BXT-A)., Methods: Gross Motor Function Measure (GMFM), functional performance (Pediatric Evaluation of Disability Inventory - PEDI), range of movement, gait pattern (Physician Rating Scale - PRS) and the speed of hand movements were considered., Results: The SG, composed of 11 HCP (45.64±6.3 months), was assessed in relation to the comparison group, composed of 13 HCP (45.92±6.4 months). SG showed higher scores in four of the five GMFM dimensions, which included scores that were statistically significant for dimension B, and higher scores in five of the six areas evaluated in the PEDI. Active wrist extension, the speed of hand movements and PRS score were higher in the SG., Conclusion: Children who received early BXT-A treatment for spasticity showed higher scores in motor and functional performance.
- Published
- 2013
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