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标题：Two Different Methods of Botulnium Toxin AInjection for Releasing of Hip Adductor Spasticity inDiplegic Children
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作者：Rasha A. Mohamed ; Ragab K. Elnaggar
期刊名称：Current Journal of Applied Science and Technology
印刷版ISSN：2457-1024
出版年度：2015
卷号：8
期号：2
页码：126-138
语种：English
出版社：Sciencedomain International
摘要：Aim: To compare the effects of Botulnium Toxin A injection of hip adductor muscles (adductor longus and brevis) and gracilis muscle on motor function, balance and gait parameters of the children with diplegic cerebral palsy.Study Design: Prospective, randomized controlled study.Place and Duration of Study: National Institute for Neuro-Motor System, Out-patient Clinic, Faculty of Physical Therapy, Cairo University and Kasr El Aini Hospital from June 2013 to September 2014Methodology: Thirty diplegic cerebral palsied children of both sexes were selected. Their ages ranged from 8 to 10 years. They were assigned randomly into two equal study groups. Group I received Botulnium Toxin A injection of bilateral adductor longus and brevis muscles, while group II received Botulnium Toxin A injection of bilateral gracilis muscles. In addition, both groups received the same designed physical therapy program three times per week for three successive months. Gross Motor Function Measure-88 standing and walking subsections, stability indices, kinematic gait parameters were evaluated before and after three successive months of treatment.Results: Significant differences were observed in both groups when comparing their pre and post treatment mean values of all measuring variables (P <0.05) except non significant differences of mediolateral stability index in group I was recorded (P > 0.05). Also, significant differences were recorded when comparing the post treatment mean values of all measuring variables of both groups in favor of group II (P <0.05).Conclusion: Botulnium Toxin A injection of the gracilis muscle is an excellent supplement to regularly scheduled physical therapy intervention for children with diplegic cerebral palsy.
关键词：Botox;adductor muscles;spasticity;diplegic cerebral palsy