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British Journal of Applied Science & Technology, ISSN: 2231-0843,Vol.: 8, Issue.: 2


Two Different Methods of Botulnium Toxin A Injection for Releasing of Hip Adductor Spasticity in Diplegic Children


Rasha A. Mohamed1* and Ragab K. Elnaggar1

1Department of Physical Therapy for Growth and Developmental Disorders in Children and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.

Article Information
(1) Bingyun Li, Department of Orthopaedics, Nanomedicine Laboratory, Robert C. Byrd Health Sciences Center, School of Medicine, West Virginia University, USA.
(1) Anonymous, Italy.
(2) Anonymous, Japan.
Complete Peer review History: http://www.sciencedomain.org/review-history/8564


Aim: To compare the effects of Botulnium Toxin A injection of hip adductor muscles (adductor longus and brevis) and gracilis muscle on motor function, balance and gait parameters of the children with diplegic cerebral palsy.
Study Design: Prospective, randomized controlled study.
Place and Duration of Study: National Institute for Neuro-Motor System, Out-patient Clinic, Faculty of Physical Therapy, Cairo University and Kasr El Aini Hospital from June 2013 to September 2014
Methodology: Thirty diplegic cerebral palsied children of both sexes were selected. Their ages ranged from 8 to 10 years. They were assigned randomly into two equal study groups. Group I received Botulnium Toxin A injection of bilateral adductor longus and brevis muscles, while group II received Botulnium Toxin A injection of bilateral gracilis muscles. In addition, both groups received the same designed physical therapy program three times per week for three successive months. Gross Motor Function Measure-88 standing and walking subsections, stability indices, kinematic gait parameters were evaluated before and after three successive months of treatment.
Results: Significant differences were observed in both groups when comparing their pre and post treatment mean values of all measuring variables (P <0.05) except non significant differences of mediolateral stability index in group I was recorded (P > 0.05). Also, significant differences were recorded when comparing the post treatment mean values of all measuring variables of both groups in favor of group II (P <0.05).
Conclusion: Botulnium Toxin A injection of the gracilis muscle is an excellent supplement to regularly scheduled physical therapy intervention for children with diplegic cerebral palsy.

Keywords :

Botox; adductor muscles; spasticity; diplegic cerebral palsy.

Full Article - PDF    Page 126-138

DOI : 10.9734/BJAST/2015/16313

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