日本財団 図書館

共通ヘッダを読みとばす


Top > 社会科学 > 社会 > 成果物情報

ABSTRACTS

 事業名 国際リハビリテーション医学会第8回世界大会開催
 団体名 日本リハビリテーション医学会 注目度注目度5


F-3-02-02

PILOT STUDY ON OUTCOME MEASURES IN TREATMENT OF ADOLESCENTS WITH CEREBRAL PALSY WITH BOTULINUM TOXIN.

Anthony B Ward (Keele University, Stoke on Trent, UK)

 

Botulinum toxin has been shown to be of benefit for spasticity in cerebral palsy. Among the problems of adult cerebral palsy are deformities of hip and knee flexion, adduction and rotation of the lower limb, tight calf muscles and tendo achilles and toe clawing resulting in foot pronation and instability of the weight bearing. The standard outcome measures for botulinum toxin treatment in acquired disorders are frequently irrelevant, reflecting the different aetiology. Young people with cerebral palsy have invariably adapted to carrying out activities of daily living and do not have considerable pain or frequent spasms. We assessed the outcomes of six cerebral palsy patients with spastic diplegia, aged between 16-21 years, in a pilot study following standard doses of botulinum toxin injections for localised spasticity. Four had his adductor problems and two had lower leg problems. They were followed up with regular physiotherapy and assessed at monthly intervals for four months. Assessments included joint range of movement, spastcity on the modified Ashworth scale, walking speed, stride length, VAS scores for pain, Barthel ADL scale and a five point subjective change. Those with hip adductor problems improved to a greater extent than those with lower leg problems and the measurements that appear most promising and correlate greatest with patient satisfaction in walking are decrease in hip fixed flexion deformity and improvements in walking speed (using a 10m walking time) and stride length, which were better than reduction in hip adductor spasticity. Pain and ADL scores were of little value for this group of patients and the findings from this pilot are worthy of further study.

 

F-3-02-03

GAIT ANALYSIS OF CEREBRAL PALSY AFTER SELECTIVE POSTERIOR RHIZOTOMY

Tae-Sun Kim, Chang-Il Park, Ji-Cheol Shin, You-Chul Kim, Seong-Woo Kim, (Yonsei University College of Medicine, Seoul, Korea)

 

Purpose: To evaluate the effects of selective posterior rhizotomy (SPR) on range of motion, strength, spasticity and gait parameters in spastic cerebral palsy (CP) children.

Method: Ambulatory children with spastic CP whose ages varied from 3.3 to 7.3 years were included in this study. They were evaluated preoperatively and 2 - 4 months after SPR. The joint ROM, strength, manual test of spasticity, and gait analysis using Vicon 370 M. A. System were done.

Result: The strength of hip muscles was reduced, and knee muscles slightly increased. Ankle dorsiflexors and plantarflexors did not change significantly. Spasticity decreased after SPR. Kinematic data showed significant increases in maximum ankle dorsiflexion in stance and swing phases. Ankle position at initial contact phase changed from -10.5°to 2.9° dorsiflexion after SPR. Cadence, walking velocity, and step length were slightly decreased without significance after SPR.

Conclusion: SPR is an effective treatment method to reduce spasticity and to improve gait pattern in spastic CP children.

 

 

 

BACK   CONTENTS   NEXT

 






サイトに関するご意見・ご質問・お問合せ   サイトマップ   個人情報保護

日本財団会長笹川陽平ブログはこちら

日本財団図書館は、日本財団が運営しています。

  • 日本財団 THE NIPPON FOUNDATION



ランキング
注目度とは?
成果物アクセスランキング
583位
(35,139成果物中)

成果物アクセス数
19,545

集計期間:成果物公開〜現在
更新日: 2022年9月24日

関連する他の成果物

1.「国際リハビリテーション医学会第8回世界大会開催」の報告書
2.Second Announcement&Call for Papers
3.PROGRAM
4.国際リハビリテーション医学会第8回世界大会報告書
5.生活医学シリーズNo.115「生活習慣病としての心臓病」
  [ 同じカテゴリの成果物 ]


アンケートにご協力
御願いします

この成果物は
お役に立ちましたか?


とても役に立った
まあまあ
普通
いまいち
全く役に立たなかった


この成果物をどのような
目的でご覧になりましたか?


レポート等の作成の
参考資料として
研究の一助として
関係者として参照した
興味があったので
間違って辿り着いただけ


ご意見・ご感想

ここで入力されたご質問・資料請求には、ご回答できません。






その他・お問い合わせ
ご質問は こちら から