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뇌성마비 환아의 경직치료에서 고주파 열응고술의 효과

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Author(s)
이소영오정섭정윤태최경식
Keimyung Author(s)
Lee, So Young
Department
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
대한재활의학회지
Issued Date
2009
Volume
33
Issue
2
Keyword
Radiofrequency thermocoagulationPhenolCerebral palsySpasticity
Abstract
Objective: To compare the therapeutic effects between radiofrequency
thermocoagulation and phenol motor branch
block in treatment of spasticity of child with cerebral palsy.
Method: Thirteen patients with spastic cerebral palsy were
randomly divided into two groups. One group received
percutaneous selective radiofrequency thermocoagulation on
tibial nerve motor branch and the other group received
phenol motor branch block to the gastrocnemius muscle.
Therapeutic effects were assessed before and after treatment
for 6 months in each group. The severity of ankle spasticity
was assessed with the modified Ashworth scale (MAS), the
modified Tardieu scale (MTS), and the passive range of
motion (PROM) of ankle joint.
Results: In both groups, the MAS and MTS decreased, and
radiofrequency thermocoagulation group showed more significant
reduction of the spasticity (p<0.05). There was a
significant increase in PROM on knee flexion and extension
in a radiofrequency thermocoagulation group (p<0.05).
Conclusion: Percutaneous selective radiofrequency thermocoagulation
could be a treatment option for relieving the
localized spasticity of ankle in spastic cerebral palsy with
little adverse effect.
Alternative Title
The Effect of Percutaneous Selective Radiofrequency Thermocoagulation in the Treatment of Spasticity
with Cerebral Palsy
Keimyung Author(s)(Kor)
이소영
Publisher
School of Medicine
Citation
이소영 et al. (2009). 뇌성마비 환아의 경직치료에서 고주파 열응고술의 효과. 대한재활의학회지, 33(2), 198–204.
Type
Article
ISSN
1225-584X
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39454
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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