Short-Term Effects of Combined Serial Casting and Botulinum Toxin Injection for Spastic Equinus in Ambulatory Children with Cerebral Palsy
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Purpose: The purpose of this paper is to test the hypothesis that combination therapy of serial cast and botulinum toxin type A (BTX-A) injection can further enhance the effects of a BTX-A injection in ambulant children with cerebral palsy (CP)who have an equinus foot. Materials and Methods: Children in group A (30 legs of 21 children) received a serial casting application after an injection of BTX-A,and children in group B (25 legs of 17 children) received only a BTX-A injection. Assessments were performed before the intervention and 1 month after the intervention. Results: After the intervention, there were significant improvements in tone, dynamic spasticity, and passive range of motion (ROM) in both groups. However, the changes were greater in group A than in group B. Dimension D (standing) in Gross Motor Function Measure (GMFM)-66 was significantly improved in group A but not in group B. On the other hand, there were no significant changes in di-mension E (walking, running, jumping) in GMFM-66 in either group. Conclusion: The results of our study suggest that a serial casting application after BTX-A injection can enhance the benefits of BTX-A injection in children with cerebral palsy.
Abstract
Purpose: The purpose of this paper is to test the hypothesis that combination therapy of serial cast and botulinum toxin type A (BTX-A) injection can further enhance the effects of a BTX-A injection in ambulant children with cerebral palsy (CP)who have an equinus foot. Materials and Methods: Children in group A (30 legs of 21 children) received a serial casting application after an injection of BTX-A,and children in group B (25 legs of 17 children) received only a BTX-A injection. Assessments were performed before the intervention and 1 month after the intervention. Results: After the intervention, there were significant improvements in tone, dynamic spasticity, and passive range of motion (ROM) in both groups. However, the changes were greater in group A than in group B. Dimension D (standing) in Gross Motor Function Measure (GMFM)-66 was significantly improved in group A but not in group B. On the other hand, there were no significant changes in di-mension E (walking, running, jumping) in GMFM-66 in either group. Conclusion: The results of our study suggest that a serial casting application after BTX-A injection can enhance the benefits of BTX-A injection in children with cerebral palsy.
참고문헌 (26)
- Brouwer B, "Serial casting in idiopathic toe-walkers and children with spastic cerebral palsy", J Pediatr Orthop, 20, pp.221~225 (2000)
- Corry IS, "Botulinum toxin A compared with stretching casts in the treatment of spastic equinus: a randomised prospective trial", J Pediatr Orthop, 18, pp.304~311 (1998)
- McNee AE, "The effect of serial casting on gait in children with cerebral palsy: preliminary results from a crossover trial", Gait Posture, 25, pp.463~468 (2007)
- Galli M, "Computerized gait analysis of botulinum toxin treatment in children with cerebral palsy", Disabil Rehabil, 29, pp.659~664 (2007)
- Sätilä H, "Botulinum toxin type A injections into the calf muscles for treatment of spastic equinus in cerebral palsy: a randomized trial comparing single and multiple injection sites", Am J Phys Med Rehabil, 87, pp.386~394 (2008)
- Bang MS, "Change of dynamic gastrocnemius and soleus muscle length after block of spastic calf muscle in cerebral palsy", Am J Phys Med Rehabil, 81, pp.760~764 (2002)
- Papadonikolakis AS, "Botulinum A toxin for treatment of lower limb spasticity in cerebral palsy: gait analysis in 49 patients", Acta Orthop Scand, 74, pp.749~755 (2003)
- Gajdosik RL, "Passive extensibility of skeletal muscle: review of the literature with clinical implications", Clin Biomech (Bristol, Avon), 16, pp.87~101 (2001)
- Tardieu G, "Muscle hypoextensibility in children with cerebral palsy: II. Therapeutic implications", Arch Phys Med Rehabil, 63, pp.103~107 (1982)
- Desloovere K, "A randomized study of combined botulinum toxin type A and casting in the ambulant child with cerebral palsy using objective outcome measures", Eur J Neurol, 8, pp.75~87 (2001)
- Brouwer B, "Reflex excitability and isometric force production in cerebral palsy: the effect of serial casting", Dev Med Child Neurol, 40, pp.168~175 (1998)
- Cottalorda J, "Toe-walking in children younger than six years with cerebral palsy. The contribution of serial corrective casts", J Bone Joint Surg Br, 82, pp.541~544 (2000)
- Glanzman AM, "Efficacy of botulinum toxin A, serial casting, and combined treatment for spastic equinus: a retrospective analysis", Dev Med Child Neurol, 46, pp.807~811 (2004)
- Kay RM, "Botulinum toxin as an adjunct to serial casting treatment in children with cerebral palsy", J Bone Joint Surg Am, 86, pp.2377~2384 (2004)
- Flett PJ, "Botulinum toxin A versus fixed cast stretching for dynamic calf tightness in cerebral palsy", J Paediatr Child Health, 35, pp.71~77 (1999)
- Ackman JD, "Comparing botulinum toxin A with casting for treatment of dynamic equinus in children with cerebral palsy", Dev Med Child Neurol, 47, pp.620~627 (2005)
- Bottos M, "Botulinum toxin with and without casting in ambulant children with spastic diplegia: a clinical and functional assessment", Dev Med Child Neurol, 45, pp.758~762 (2003)
- Booth MY, "Serial casting vs combined intervention with botulinum toxin A and serial casting in the treatment of spastic equinus in children", Pediatr Phys Ther, 15, pp.216~220 (2003)
- Bohannon RW, "Interrater reliability of a modified Ashworth scale of muscle spasticity", Phys Ther, 67, pp.206~207 (1987)
- Mackey AH, "Intraobserver reliability of the modified Tardieu scale in the upper limb of children with hemiplegia", Dev Med Child Neurol, 46, pp.267~272 (2004)
- Russell DJ, "Improved scaling of the gross motor function measure for children with cerebral palsy: evidence of reliability and validity", Phys Ther, 80, pp.873~885 (2000)
- Russell DJ, "Gross motor function measure (GMFM-66 and GMFM-88) user’s manual" (2002), Mac Keith Press
- Koman LA, "Management of spasticity in cerebral palsy with botulinum-A toxin: report of a preliminary, randomized, double-blind trial", J Pediatr Orthop, 14, pp.299~303 (1994)
- Jain S, "Effect of serial casting in spastic cerebral palsy", Indian J Pediatr, 75, pp.997~1002 (2008)
- Blackmore AM, "A systematic review of the effects of casting on equinus in children with cerebral palsy: an evidence report of the AACPDM", Dev Med Child Neurol, 49, pp.781~790 (2007)
- Kelly B, "Assessment protocol for serial casting after botulinum toxin a injections to treat equinus gait", Pediatr Phys Ther, 20, pp.233~241 (2008)