Botulinum toxin and short-term electrical stimulation in the treatment of equinus in cerebral palsy
(2001) Movement Disorders — Vol. 17, n° 1, p. 162-169 (2002)
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- Abstract
- Intramuscular botulinum toxin type A (BT-A) has been shown to reduce spasticity and to improve gait in children with cerebral palsy. To determine whether the efficacy of BT-A may be enhanced by electrical stimulation, as suggested in focal dystonia or in adult spastic patients, 12 children with dynamic foot equinus deformity were randomly assigned to two groups in a blinded, clinically controlled trial. Intramuscular BT-A into calf muscles was followed by adjuvant electrical stimulation in Group A (n = 6) but not in Group B (n = 6). Clinical assessment and instrumented gait analysis were performed before and 1, 3, and 6 months after treatment. The combined treatment of BT-A and electrical stimulation was not superior to BT-A alone. For all patients, improvement of the clinical and gait variables occurred at 1 and 3 months after BT-A injection.
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Citations
Detrembleur, C., Lejeune, T., Renders, A., & Van den Bergh, P. (2001). Botulinum toxin and short-term electrical stimulation in the treatment of equinus in cerebral palsy. Movement Disorders, 17(1), 162-169. https://doi.org/10.1002/mds.1282 (Original work published 2002)