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2017, Number 1

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Rev Med Inst Mex Seguro Soc 2017; 55 (1)

Botulinum toxin A and physical therapy in gait in cerebral palsy

García-Sánchez, Sandra Fabiola; Gómez-Galindo, Maria Teresa; Guzmán-Pantoja, Jaime Eduardo

Language: Spanish
References: 25
Page: 18-24
PDF size: 276.12 Kb.


ABSTRACT

Background: Cerebral palsy (PCI) is the leading cause of disability in children. Botulinum toxin type A (TBA) is a treatment to improve the function and pattern in the gait, although with a few studies that quantify the improvement
Methods: Quasi-experimental study was conducted from May 2010 to September 2011, in Integrated Rehabilitation Center, in 36 patients with spastic PCI. Was evaluated: functionality of travel by the scale of Koman, speed of the gait with tone scale of Ashworth and arches of passive mobility, were applied TBA and was sent to 10 sessions of physical therapy, with measurements taken before, the 1st and 4th month.
Results: 30 Patients completed the study, between the ages of 2 and 12 years, the majority had improvement in the functionality of the gear, tone, dorsiflexion and abduction of ankles to the motion, which was maintained at 4 months.
Conclusions: Botulinum toxin is an effective treatment to increase the arches of mobility and functionality of the gait of patients with hemiparesis and spastic paraparesis.


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