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Role of Botulinum Toxin A in Cerebral Palsy – 10yrs Experience

Author

Listed:
  • PA Mohammed Kunju
  • Riaz I
  • Mary Iype

    (Dept of pediatric neurology, Medical college, India)

  • Mini S

    (Pediatric neurologist, KIMS, India)

  • Kalpana D

    (Department of Pediatrics, Medical College, India)

Abstract

Botulinum Toxin has been used for over 20 years to help people with problems like strabismus & blepharospasm [1]. Within the last 15 years, it is being successfully used to treat spasticity in children with cerebral palsy [2]. From 2000-2010 Botulinum toxin A (BT) was tried for spasticity (diplegic & hemiplegic) management in 60 children with cerebral palsy. 48 of them had severe spastic diplegia & 12 had hemiplegia. All were monitored for 6-24 months before BT injection. 48 had calf muscle spasticity with equinus, 40 had scissoring due to adductor spasm. 36 had flexion at knee due to hamstring spasm and 8 had spasm at different levels. Target muscles identified by functional spasticity assessment or by EMG guidance. The mean follow-up time was 36 months. Post injection, intensive physiotherapy was given.

Suggested Citation

  • PA Mohammed Kunju & Riaz I & Mary Iype & Mini S & Kalpana D, 2017. "Role of Botulinum Toxin A in Cerebral Palsy – 10yrs Experience," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 9(3), pages 61-64, December.
    • Handle: RePEc:adp:joroaj:v:9:y:2017:i:3:p:61-64
    DOI: 10.19080/OROAJ.2017.09.555765
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