在患有性脑的儿童中注射肉毒素与造的有效性:一项随机对照试验
Shivansh Vishwakarma1, Dileep Kumar1, Ravindra Kumar Garg2
1Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, IND.
Cureus
|July 3, 2024
概括
毒素 (BT) 注射与造相结合,显著改善了脑儿童的脚运动和减少了性. 造单独也显示了改善,但与造一起注入BT给动态马匹带来了更好的结果.
科学领域:
- 儿科整形外科 儿科整形外科
- 物理医学和康复 康复
- 神经学 神经学
背景情况:
- 是脑性麻 (CP) 儿童常见的运动障碍.
- 动态马脚 (Dynamic equinus) 是一种性脚变形,经常在患有脑膜炎的儿童中观察到.
- 毒素 (BT) 注射是一种公认的焦点的第一线治疗方法.
研究的目的:
- 评估毒素 (BT) 注射与造结合的疗效,用于治疗患有性双的儿童的动态马匹.
- 为了比较BT注射与造与单独造的结果.
主要方法:
- 一项前性随机对照试验与38名被诊断为脑和性双的儿童 (年龄在2-12岁) 进行.
- 参与者被分为两组:A组与造一起接受BT注射,B组仅接受造.
- 测量结果包括性 (修改的阿什沃思尺度,修改的塔迪尤尺度),运动范围和总运动功能的测量 (GMFM-66).
主要成果:
- 两组治疗都显示了肌肉强度和被动运动范围的统计学显著改善.
- 在每组中,随着时间的推移,在MAS和被动ROM (背和脚) 中观察到显著的差异.
- 在干预后的第三周,两组之间没有发现MAS的统计学上显著差异.
结论:
- 与造一起注射玻尿素毒素是患有脑的儿童动态马的有效治疗方法.
- 结合的方法导致了音调和运动范围的显著改善.
- 仅仅造也显示出好处,突显了对这种疾病的干预的重要性.
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