scholarly journals Medial gastrocnemius volume and echo‐intensity after botulinum neurotoxin A interventions in children with spastic cerebral palsy

2018 ◽  
Vol 61 (7) ◽  
pp. 783-790 ◽  
Author(s):  
Simon‐Henri Schless ◽  
Francesco Cenni ◽  
Lynn Bar‐On ◽  
Britta Hanssen ◽  
Barbara Kalkman ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Botulinum Neurotoxin ◽  
Medial Gastrocnemius ◽  
Spastic Cerebral Palsy ◽  
Echo Intensity ◽  
Botulinum Neurotoxin A

Spastic Cerebral Palsy in Children: Dynamic Sonoelastographic Findings of Medial Gastrocnemius

Radiology ◽  
2012 ◽  
Vol 263 (3) ◽  
pp. 794-801 ◽  
Author(s):  
Dong Rak Kwon ◽  
Gi Young Park ◽  
Sung Uk Lee ◽  
Inbum Chung
Keyword(s):  
Cerebral Palsy ◽  
Medial Gastrocnemius ◽  
Spastic Cerebral Palsy

Functional outcomes of botulinum neurotoxin-A injection followed by reciprocal electrical stimulation in children with cerebral palsy: A randomized controlled trial

2020 ◽  
pp. 1-11
Author(s):  
Ragab K. Elnaggar ◽  
Bader A. Alqahtani ◽  
Mohammed F. Elbanna
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Botulinum Neurotoxin ◽  
Hand Function ◽  
Botulinum Neurotoxin A ◽  
Group Iii ◽  
Children With Cerebral Palsy ◽  
Spastic Hemiplegia ◽  
Upper Extremity Function

Background: The integration of therapeutic approaches is increasingly recommended for children with cerebral palsy, to enhance outcomes. Nevertheless, clinicians still opt for separate or combined therapies based on little credible knowledge. Objective: This study endeavored to evaluate the effect of botulinum neurotoxin-A (BoNT-A) injection and reciprocal neuromuscular electrical stimulation (rNMES) and their combination on the upper extremity function in children with spastic hemiplegia. Methods: Sixty-four children with spastic hemiplegia (aged 6– 10 years) were randomly assigned to four treatment-based groups [group I (BoNT-A), group II (rNMES), group III (combined BoNT-A and rNMES), and group IV (Control)]. All children received a physical rehabilitation program, thrice/week over three months. Unilateral upper-limb function, bimanual hand function, and real-time arm-hand function were assessed using Melbourne Assessment (MA), Assisting Hand Assessment (AHA), and Pediatric Motor Activity Log (PMAL) scales respectively pre-treatment, post-treatment, and at 6 months follow-up. Results: Post-treatment, group III achieved greater improvement in MA, AHA, and PMAL compared to other groups (all P <  0.05), and the difference remained in favor of group III at the follow-up (all P <  0.05). Conclusions: This study suggests that BoNT-A and rNMES combined are more effective than either of them alone to enhance upper-extremity function in children with spastic hemiplegia.

O 054 - Does echo-intensity associate with muscle and fascicle extensibility over the ankle range of motion in children with spastic cerebral palsy?

2018 ◽  
Vol 65 ◽  
pp. 112-113
Author(s):  
S.H. Schless ◽  
F. Cenni ◽  
L. Bar-On ◽  
G. Molenaers ◽  
K. Desloovere
Keyword(s):  
Cerebral Palsy ◽  
Range Of Motion ◽  
Spastic Cerebral Palsy ◽  
Echo Intensity
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