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뇌성마비 환아에서 족부변형에 대한 Botulinum Toxin A의 치료효과

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Affiliated Author(s)
박기영
Alternative Author(s)
Park, Gi Young
Journal Title
대한재활의학회지
ISSN
1225-584X
Issued Date
1998
Keyword
Botulinum toxin ACerebral palsyFoot deformitiesRoentgenograms
Abstract
The purpose of this study is to evaluate the effectiveness of intramuscular botulinum toxin A injection in cerebral palsy with foot deformities using roentgenogram. We have studied 26 children with cerebral palsy(age 3 to 13 years old). They were twenty spastic diplegias, three hemiplegias and three mixed types(spasticity and athetosis). The botulinum toxin A was injected into gastrocnemius or peroneous muscles with an electromyographic guidance. Before injections, passive joint angles of the ankle were assessed by the goniometric measurements. A plantar-flexion angle of talus, dorsiflexion angle of calcaneous, and talar-calcaneal divergence angle were measured using the lateral and anterior-posterior roentgenograms of the foot with weight- bearing for the assessment of equinovalgus of ankle. Follow-up assessments were performed at 1 and 3 months after the injection. At 1 month after the injection into gastrocnemius muscle, there was an increased range of passive ankle joint motion, decreased plantar-flexion angle of talus, and increased dorsiflexion angle of calcaneous. These changes were still significant at 3 months after the injection. After the injection into peroneous muscle, the talar-calcaneal divergence angle was significantly decreased. This study provides the evidence that the treatment with botulinum toxin A improves the ankle joint motion in cerebral palsy with feet deformities by reducing hypertonicity, spasticity and dynamic contracture. In addition, the lateral and anterior- posterior roentgenograms of the foot with weight bearing seems to be the simple and objective methods to evaluate the effectiveness of intramuscular botulinum toxin A injection in cerebral palsy with foot deformities.
Alternative Title
Treatment Effects of Botulinum Toxin A in Cerebral Palsy with Foot Deformities
Department
Dept. of Rehabilitation Medicine (재활의학)
Publisher
School of Medicine
Citation
박기영 and 장성구. (1998). 뇌성마비 환아에서 족부변형에 대한 Botulinum Toxin A의 치료효과. 대한재활의학회지, 22(1), 21–26.
Type
Article
ISSN
1225-584X
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39453
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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