지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 496 - 504 (9page)
이용수
초록· 키워드
오류제보하기
Purpose: To investigate the effect of intramuscular Botulinum toxin type A (BoNT-A) injection on gait and dynamic foot pressure distribution in children with spastic cerebral palsy (CP) with dynamic equinovarus foot.
Materials and Methods: Twenty-five legs of 25 children with CP were investigated in this study. BoNT-A was injected into the gastrocnemius (GCM) and tibialis posterior (TP) muscles under the guidance of ultrasonography. The effects of the toxin were clinically assessed using the modified Ashworth scale (MAS) and modified Tardieu scale (MTS), and a computerized gait analysis and dynamic foot pressure measurements using the F-scan system were also performed before injection and at 1 and 4 months after injection.
Results: Spasticity of the ankle plantar-flexor in both the MAS and MTS was significantly reduced at both 1 and 4 months after injection.
On dynamic foot pressure measurements, the center of pressure index and coronal index, which represent the asymmetricalweight-bearing of the medial and lateral columns of the foot, significantly improved at both 1 and 4 months after injection. The dynamic foot pressure index, total contact area, contact length and hind foot contact width all increased at 1 month after injection,suggesting better heel contact. Ankle kinematic data were significantly improved at both 1 and 4 months after injection, and ankle power generation was significantly increased at 4 months after injection compared to baseline data.
Conclusion: Using a computerized gait analysis and foot scan, this study revealed significant benefits of BoNT-A injection into the GCM and TP muscles for dynamic equinovarus foot in children with spastic CP.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Haugh AB / 2006 / A systematic review of the Tardieu Scale for the measurement of spasticity / Disabil Rehabil 28:899~907
Yam WK / 2006 / Interrater reliability of Modified Ashworth Scale and Modified Tardieu Scale in children with spastic cerebral palsy / J Child Neurol 21:1031~1035
Bowen TR / 1998 / A method of dynamic foot-pressure measurement for the evaluation of pediatric orthopaedic foot deformities / J Pediatr Orthop 18:789~793
Chang CH / 2002 / Dynamic pedobarograph in evaluation of varus and valgus foot deformities / J Pediatr Orthop 22:813~818
Oeffnger DJ / 2000 / Foot pressure and radiographic outcome measures of lateral column lengthening for pes planovalgus deformity / Gait Posture 12:189~195
Yam WK / 2006 / Interrater reliability of Modified Ashworth Scale and Modified Tardieu Scale in children with spastic cerebral palsy / J Child Neurol 21:1031~1035
Bowen TR / 1998 / A method of dynamic foot-pressure measurement for the evaluation of pediatric orthopaedic foot deformities / J Pediatr Orthop 18:789~793
Chang CH / 2002 / Dynamic pedobarograph in evaluation of varus and valgus foot deformities / J Pediatr Orthop 22:813~818
Oeffnger DJ / 2000 / Foot pressure and radiographic outcome measures of lateral column lengthening for pes planovalgus deformity / Gait Posture 12:189~195
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