pISSN : 3058-6941 eISSN: 3058-695X
Open Access, Peer-reviewed
pISSN : 3058-6941 eISSN: 3058-695X
Open Access, Peer-reviewed
Mi-Young Song, Yu-Ra Lee, Jung-Hee Doo, Sun-Kyu Lim
(4)1.63.73 Epub 7th November, 1999
Abstract
The purpose of this research is to determine the effectiveness of botulinum toxin A injection at least for six-month period by observing spasticity and gait pattern in child with cerebral palsy. The subject of this research was a child with spastic diplegia. She was five years old who could walk by herself. Botulinum toxin A injection was administered on both gastrocnemius muscles and adductor longus. Spasticity was measured by using Modified Ashworth scale, and passive range of motion was measured by using goniometer. The capacity of movement and characteristics of walking were measured by using GMFM(gross motor function measure) and footprint. Follow up assessments were performed at 6 and 9 months after injection. In result, it was increased that one dimention of GMFM which is walking, running, and jumping from 62 points to 64 points. The changes of walking status using footprint were observed. The speed, cadence, step length, stride length, and base of support were decreased while the degree of the foot anglew a s increased. In conclusion, botulinum toxin A on spastic diplegia is thought to decrease spasticity and to increase the capacity to walk and move for a long period of time. And the more research should be done on more various cases and parts in the future.
Keywords
Botulinum toxin A Spastic diplegia Pattern of gait and movement
