Effects of early spasticity treatment on children with hemiplegic cerebral palsy: a preliminary study

• Autor(a) principal: Zonta,Marise Bueno
• Data de Publicação: 2013
• Outros Autores: Bruck,Isac, Puppi,Marilene, Muzzolon,Sandra, Neto,Arnolfo de Carvalho, Santos,Lúcia Helena Coutinho dos
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Arquivos de neuro-psiquiatria (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000700453
• topic: child; botulinum toxins; type A; cerebral palsy; hemiplegia

ObjectiveTo compare motor and functional performance of two groups of children with hemiplegic cerebral palsy (HCP). Only the study group (SG) received early treatment of spasticity with botulinum neurotoxin type A (BXT-A).MethodsGross Motor Function Measure (GMFM), functional performance (Pediatric Evaluation of Disability Inventory - PEDI), range of movement, gait pattern (Physician Rating Scale - PRS) and the speed of hand movements were considered.ResultsThe SG, composed of 11 HCP (45.64±6.3 months), was assessed in relation to the comparison group, composed of 13 HCP (45.92±6.4 months). SG showed higher scores in four of the five GMFM dimensions, which included scores that were statistically significant for dimension B, and higher scores in five of the six areas evaluated in the PEDI. Active wrist extension, the speed of hand movements and PRS score were higher in the SG.ConclusionChildren who received early BXT-A treatment for spasticity showed higher scores in motor and functional performance.