경직성 편마비 환자의 손 기능 향상을 위한 Botulinum Toxin A 치료

Other Titles
Botulinum Toxin A Treatment for the Improvement of Hand Function in Spastic Hemiplegia
Authors
박기영
Department
Dept. of Rehabilitation Medicine (재활의학)
Issue Date
1999
Citation
대한재활의학회지, Vol.23(2) : 240-246, 1999
ISSN
1225-584X
Abstract
Objective: The purpose of this study is to evaluate the effects of intramuscular botulinum toxin A injection for the improvement of hand function in spastic hemiplegia. Method: We have studied 8 patients with spastic hemiplegia. Botulinum toxin A was injected into target muscles with electromyographic guidance. Before injection, muscle activity patterns were evaluated by dynamic electromyography. Follow-up assessments were performed at three months after injection. Results: There were continuous activity patterns in all dynamic electromyography of target muscles. Dynamic electromyography of antagonist muscles in five patients showed normal phasic activity pattern but it showed absent pattern in other three patients. Mean modified Ashworth scale decreased significantly after injection. There were an improvement in functional classification and a significant increase of mean scores of unilateral hand skills after injection in patients with normal phasic pattern of antagonist muscles. Conclusion: Botulinum toxin A can improve the impaired hand movement and function in spastic hemiplegia by reducing spasticity and contracture of the target muscles in cases of normal phasic activity in antagonist muscles and continuous activity in target muscles.
Keywords
Botulinum toxin ASpastic hemiplegiaHand functionDynamic electromyography
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/39447
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
Keimyung Author(s)
박기영
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