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The effect of combined serial casting and botulinum toxin-A injection on ankle equinus in children with spastic dilegia Moore, Kelly Stephanie
Abstract
This prospective study examined the effects of combined serial casting and botulinum toxin A (Btx) with Btx injection alone in children with spastic diplegia over a 24-week period. Outcome was detemined by the Modified Ashworth Scale, ankle and knee joint ranges of motion, GMFM, gait analysis, and calculation of soleus and gastrocnemius muscle lengths. A decrease in ankle plantarflexor tone and increase in passive ankle dorsiflexion were observed 8 weeks post-injection in both groups and persisted in the combined group until 18 weeks. Improvements in gait were observed only in the combined group at 8 weeks post injection. Examination of these data on a case-by-case basis revealed that 2 of the 5 patients in the Btx only group had improvements in gait that were still evident at 18 weeks post-injection. Improvements in gait persisted in the combined treatment group to 24 weeks. It was concluded that combining Btx with serial casting does lead to more persistent improvements than Btx alone and that combining the two treatments has the potential to be effective in more patients than Btx alone.
Item Metadata
Title |
The effect of combined serial casting and botulinum toxin-A injection on ankle equinus in children with spastic dilegia
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Creator | |
Publisher |
University of British Columbia
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Date Issued |
2000
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Description |
This prospective study examined the effects of combined serial casting and botulinum
toxin A (Btx) with Btx injection alone in children with spastic diplegia over a 24-week
period. Outcome was detemined by the Modified Ashworth Scale, ankle and knee joint
ranges of motion, GMFM, gait analysis, and calculation of soleus and gastrocnemius
muscle lengths. A decrease in ankle plantarflexor tone and increase in passive ankle
dorsiflexion were observed 8 weeks post-injection in both groups and persisted in the
combined group until 18 weeks. Improvements in gait were observed only in the
combined group at 8 weeks post injection. Examination of these data on a case-by-case
basis revealed that 2 of the 5 patients in the Btx only group had improvements in gait that
were still evident at 18 weeks post-injection. Improvements in gait persisted in the
combined treatment group to 24 weeks. It was concluded that combining Btx with serial
casting does lead to more persistent improvements than Btx alone and that combining the
two treatments has the potential to be effective in more patients than Btx alone.
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Extent |
5478721 bytes
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Genre | |
Type | |
File Format |
application/pdf
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Language |
eng
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Date Available |
2009-07-08
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Provider |
Vancouver : University of British Columbia Library
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Rights |
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.
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DOI |
10.14288/1.0077363
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URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
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Graduation Date |
2000-05
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Campus | |
Scholarly Level |
Graduate
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Aggregated Source Repository |
DSpace
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Item Media
Item Citations and Data
Rights
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.