Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/23405
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dc.contributor.authorPapadonikolakis, A. S.en
dc.contributor.authorVekris, M. D.en
dc.contributor.authorKorompilias, A. V.en
dc.contributor.authorKostas, J. P.en
dc.contributor.authorRistanis, S. E.en
dc.contributor.authorSoucacos, P. N.en
dc.date.accessioned2015-11-24T19:32:22Z-
dc.date.available2015-11-24T19:32:22Z-
dc.identifier.issn0001-6470-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/23405-
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectBotulinum Toxins, Type A/pharmacology/*therapeutic useen
dc.subjectCerebral Palsy/*drug therapy/*physiopathologyen
dc.subjectChilden
dc.subjectChild, Preschoolen
dc.subjectGait/*drug effectsen
dc.subjectHumansen
dc.subjectMotor Skillsen
dc.subjectMuscle Spasticity/drug therapyen
dc.subjectNeuromuscular Agents/pharmacology/*therapeutic useen
dc.subjectProspective Studiesen
dc.titleBotulinum A toxin for treatment of lower limb spasticity in cerebral palsy: gait analysis in 49 patientsen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1080/00016470310018315-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/14763710-
heal.identifier.secondaryhttp://informahealthcare.com/doi/pdfplus/10.1080/00016470310018315-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2003-
heal.abstractBACKGROUND: Injection of botulinum type A toxin is a new treatment for spasticity. PATIENTS AND METHODS: We evaluated the effect of botulinum A toxin (BTX-A) in the lower limb muscles of patients having cerebral palsy. We tested 49 patients before and, on average, 4 (2-9) months after giving the toxin. The evaluation included 3-dimensional computerized gait analysis, changes in mobility level, using the Gillette Functional Assessment Questionnaire, and gastrocnemius muscle bulk, using ultrasonographic measurements. RESULTS: The patients were divided into 3 groups, according to the site of BTX-A administration (hamstrings, gastrocnemius and multilevel). Those who were injected in the hamstrings showed a significant improvement in only the maximum knee extension angle during the gait cycle. Those with spastic equinus who were injected in the gastrocnemius muscle responded better than the other groups. The ankle angle on the initial contact, terminal stance and pre-swing, maximum dorsiflexion, ankle range of motion, per cent of single support and gait velocity improved significantly. Overall, the patients showed significant improvements in motor skill performance and functional health. INTERPRETATION: Our findings indicate that botulinum type A toxin can be given as an adjuvant to conservative treatment of patients with cerebral palsy.en
heal.journalNameActa Orthop Scanden
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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