Castillo MM, del Valle CMG, Morales OMG, Arellano SME, León HSR

Language: Spanish
References: 12
Page: 18-22
PDF size: 53.07 Kb.

ABSTRACT

Introduction: The cerebral palsy (CP) is the most common cause of physical handicap in children, with an incidence of 2 to 2.5 per 1,000 newborns. Is the first place in demand of attention in the area of Paediatric Rehabilitation. Objective:To evaluate the functional improvement in spastic hand with application of botulinum toxin A (BTX-A) in children with CP. Methodology: There are two experimental groups. An experimental, longitudinal and prospective study was realized. The A Group as a experimental group and B Group as a control, a total of 40 patients with hemiparetic spastic CP. An initial evaluation and two subsequent evaluations were performed. The mobility arc was measured, graduation in the scale of Ashworth. Both groups were evaluated with Functional Independence Measurement Scale in the child (WeeFIM). BTX-A in doses from 0.5 to 2 U/kg was applied to A Group, in 2 or 3 muscles. B group serves as control. Both groups received Physical and Occupational Therapy. Results: The obtained results of the application of the WeeFIM showed in the third evaluation, the A group obtained an average of 97.90, with a standard deviation of 9.33, B group obtained an average of 97.00, with a standard deviation of 7.34. These results indicate that there is not statistical significant difference between the experimental group and the control group. Conclusions: We found clinical improvement in both groups, but there is not statistical significant difference between the experimental group and the control group, so this study required the more following time.

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