16 research outputs found
Correlation between symptoms and sagittal alignment parameters in patients with lumbar canal stenosis: a case-control study
Traitement de la sialorrhée par toxine botulique chez l’enfant paralysé cérébral. Revue de la littérature
Évaluation isocinétique musculaire du tronc chez des adolescents sains et lombalgiques : étude comparative
Les programmes de restauration fonctionnelle du rachis influencent-ils les stratégies de coping des lombalgiques chroniques : intérêt du Coping Strategies Questionnaire (CSQ)
Motor function levels and pelvic parameters in walking or ambulating children with cerebral palsy
Revision surgery for degenerative spinal deformity: a case report and review of the literature
Le programme PRESLO de prévention secondaire des lombalgies : évaluation du point de vue des usagers
A French observational study of botulinum toxin use in the management of children with cerebral palsy: BOTULOSCOPE.
International audienceBACKGROUND: Dystonia and spasticity are common symptoms in children with Cerebral Palsy (CP), whose management is a challenge to overcome in order to enable the harmonized development of motor function during growth. AIM: To describe botulinum toxin A (BTX-A) use and efficacy as a treatment of focal spasticity in CP children in France. METHODS: This prospective observational study included 282 CP children mostly administered according to French standards with BTX-A in lower limbs. Realistic therapeutic objectives were set with parents and children together before treatment initiation and assessed using the Visual Analogue Scale (VAS). Child management was recorded and the efficacy of injections was assessed during a 12-month follow-up period by physicians (Modified Ashworth Scale, joint range of motion, Physician Rating Scale, Gillette Functional Assessment Questionnaire and Gross Motor Function Measure-66) and by patients/parents (Visual Analogue Scale). RESULTS: BTX-A treatment was administered in different muscle localizations at once and at doses higher than those recommended by the French Health Authorities. Children were treated in parallel by physiotherapy, casts and ortheses. Injections reduced spasticity and improved joint range of motion, gait pattern and movement capacity. Pain was reduced after injections. BTX-A administration was safe: no botulism-like case was reported. The log of injected children who were not included in the study suggested that a large population could benefit from BTX-A management. CONCLUSIONS: We showed here the major input of BTX-A injections in the management of spasticity in CP children. The results are in favor of the use of BTX-A as conservative safe and efficient treatment of spasticity in children, which enables functional improvement as well as pain relief