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[Assessment of spasticity therapy with baclofen pump in children]
1Pracownia Neurorehabilitacji, Uniwersytecki Szpital Dzieciecy w Krakowie.
Insights
Intrathecal baclofen pump therapy effectively reduced spasticity in children with hemiparesis. This treatment improved care and mobility, with some patients regaining the ability to walk independently or with assistance.
Area of Science:
- Pediatric Neurology
- Rehabilitation Medicine
- Neurosurgery
Background:
- Spasticity in children significantly impacts motor function and daily care.
- Baclofen pump therapy offers a targeted approach to managing severe spasticity.
Purpose of the Study:
- To evaluate the efficacy of intrathecal baclofen pump therapy in treating spasticity in pediatric hemiparesis.
- To assess changes in spasticity, functional status, and disability before and after pump implantation.
Main Methods:
- A cohort of 17 pediatric patients with spastic hemiparesis was studied.
- Spasticity was measured using the Modified Ashworth Scale.
- Functional outcomes were assessed with the Barthel index and Rankin Scale in a subgroup.
Main Results:
- A significant reduction in spasticity (2 points on the Modified Ashworth Scale) was observed post-implantation in 12 patients.
- Improved ease of care and passive exercises were noted.
- In a subgroup of 5 patients, 3 demonstrated improved ambulation, walking independently or with orthopedic support.
Conclusions:
- Intrathecal baclofen therapy demonstrates positive outcomes in managing spasticity in pediatric hemiparesis.
- The treatment enhances functional abilities and quality of life for affected children.
The Aim Of The Study:
The aim of this study was to assess of treatment of spasticity in children with baclofen pump, before and after pump implantation.
Material And Method:
In a group of 17 patients with spastic hemiparesis, with a different etiology, 2 groups were separated. In the group of 12 the most injured children, spasticity was measured by The Modified Ashworth Scale, before and after baclofen pump implantation. In the group of 5 patients spasticity was assessed by The Modified Ashworth Scale, functional benefits were evaluated with the Barthel index score, and the digree of disability with the Rankin Scale.
Results:
In the group of 12 patients, after pump implantation, was observed reduction in spasticity to 2 points in the Modified Ashworth Scale and this effect improves general ease of care and passive excersises. In the second group 3 of 5 patients, have started to walk alone or with orthopedic help.
Conclusion:
Intrathecal baclofen therapy resulted in the good effects in treatment of spasticity in the both groups.
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