Botulinum A toxin adjuvant treatment of spastic cerebral palsy rehabilitation.docVIP

 PAGE \* MERGEFORMAT 7 Botulinum A toxin adjuvant treatment of spastic cerebral palsy rehabilitation Of: Mian Yu Zhihua Zhou Hongling Dong Xiaoli Yu Yaping Kong [Keywords:] A botulinum toxin training in spastic cerebral palsy rehabilitation Cerebral palsy (the incidence rate of CP in China 1.5 ‰ ~ 1.8 ‰, in which spastic cerebral palsy accounted for 60% to 70% [1], showed increased muscle tone, and increased muscle tone caused by a variety of abnormal posture, following malformations often makes rehabilitation training is not ideal. 1 Materials and Methods 1.1 General Information selection May 2004 ~ May 2006 children’s rehabilitation center in our hospital treated 43 cases of children with spastic CP, clinical diagnosis and classification of cerebral palsy are in line with the National Forum standards [2], 28 males, 15 females, aged 1 year 10 months to 7 years and 8 months, 4 years, 1 month average of .43 cases in 34 patients with spastic diplegia, spastic quadriplegia, 7 cases of spastic hemiplegia in 2 cases, the proposed injection level of lower limb muscle spasticity were modified Ashworth grade Ⅱ or above a fixed limb deformities cramps, no fever 1 week before injection, the application history of aminoglycoside drugs. 1.2 Evaluation 1.2.1 Evaluation of muscle spasm spasm modified Ashworth rating scale (MAS measured before injection and after injection 1 week, 1 month, 3 months, changes in muscle tone, for the statistics to facilitate the Ashworth spasticity grade 0, Ⅰ, Ⅰ + , Ⅱ, Ⅲ, Ⅳ, respectively, as 0,1,2,3,4,5 points. 1.2.2 Evaluation of movement and posture and other physicians with Koman level rating scale (PRS were injected before and after injection 1 week, 1 month and 3 month rate of children, including the degree of knee flexion, gait and cross-legged shares the results from the average angle of three points, scoring in Table 1. 1.3 Methods 1.3.1 BTX A local injection of BTX A (lyophilized powder, 100 u / support, La