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경직성 편마비 환자의 손 기능 향상을 위한 Botulinum Toxin A 치료

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Author(s)
박기영
Keimyung Author(s)
Park, Gi Young
Department
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
대한재활의학회지
Issued Date
1999
Volume
23
Issue
2
Keyword
Botulinum toxin ASpastic hemiplegiaHand functionDynamic electromyography
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.
Alternative Title
Botulinum Toxin A Treatment for the Improvement of Hand Function in Spastic Hemiplegia
Keimyung Author(s)(Kor)
박기영
Publisher
School of Medicine
Citation
박기영. (1999). 경직성 편마비 환자의 손 기능 향상을 위한 Botulinum Toxin A 치료. 대한재활의학회지, 23(2), 240–246.
Type
Article
ISSN
1225-584X
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39447
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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