Effect of Botulinum Toxin Type A Injection Combined with Rehabilitation Functional Training on Upper Extremity Motor Function in Children with Spastic Hemiplegic Cerebral Palsy
10.3969/j.issn.1006-9771.2012.02.023
- VernacularTitle:A型肉毒毒素注射配合康复功能训练对痉挛型偏瘫脑瘫患儿上肢运动功能疗效观察
- Author:
Hua YAN
;
Huijia ZHANG
;
Weihong YANG
;
Yimei WANG
;
Chunguang GUO
;
Jihong HU
;
Pingqiu ZHOU
;
Jinhua HE
;
Hualin DUAN
- Publication Type:Journal Article
- Keywords:
cerebral palsy, hemiplegia, Botulinum toxin type A, upper extremity motor function, Peabody Developmental Motor Scale
- From:
Chinese Journal of Rehabilitation Theory and Practice
2012;18(2):172-175
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of Botulinum toxin type A (BTX-A) injection combined with rehabilitation functional training on upper extremity motor function in children with spastic hemiplegic cerebral palsy (CP). Methods 60 spastic hemiplegic CP children were treated with constraint-induced movement therapy (CIMT), physical therapy, electromyographic biofeedback stimulation therapy, occupational therapy, family-based training and so on after injected with BTX-A. The muscle tension of the hemiplegic upper extremity accessed by Modified Ashworth Scale (MAS), the wrist angle of active dorsiextention motion by orthrometer, fine movement quotient (FMQ) by Peabody developmental motor scale (PDMS-Ⅱ), and activities of daily living (ADL) were performed to evaluate the effects before and 3 months after treatment. Results These outcomes were improved significantly after treatment (P<0.001). Conclusion BTX-A injection combined with rehabilitation functional training could rapidly reduce spasticity of the upper extremity, increase the range of motion, improve motor function of upper extremity in children with spastic hemiplegic CP.
