Botulinum therapy of spastic forms of cerebral palsy with Relatox® in children
https://doi.org/10.33667/2078-5631-2019-3-24(399)-10-17
Abstract
The article reveals the content of the rehabilitation model for children with spastic forms of cerebral palsy using the botulinum toxin therapy methods of the domestic drug Relatox, orthopedic treatment and stretching. The types of gait defects diagnostics, observed anomalies are given. calculation of drug doses for individual muscle segments, methods of muscle control using a special atlas. Illustrates the application of the methodology of an example of a 6 year old patient with cerebral palsy.
About the Authors
D. A. KrasavinaRussian Federation
Saint Petersburg
O. R. Orlova
Russian Federation
Moscow
O. N. Vasilyeva
Russian Federation
Saint Petersburg
A. A. Balbert
Russian Federation
Ekaterinburg
E. A. Moroshek
Russian Federation
Ekaterinburg
References
1. Palisano R.J, Rosenbaum P., Bartlett D., Livingston M. H. Content validity of the expanded and revised Gross Motor Function Classification System // Dev. Med. Child. Neurol. —2008. — 50. — 744–750 p.
2. Caty G. D., Detrembleur C., Bleyenheuft C., Deltombe T., Lejeune T. M. Effect of upper limb botulinum toxin injections on impairment, activity, participation, and quality of life among stroke patients. // Stroke. —2009. — V. 40. — P. 2589–2259.
3. Koman L. A., Mooney J. F. Smith B., Goodman A., Mulvaney T. Management of cerebral palsy with botulinum-A toxin: preliminary investigation. J. Pediatr. Orthop. — 1993. — V. 13. — P. 489–495.
4. Clark T. Botulinum Toxin and Rehabilitation Therapies. Royal Hospital for Neuro-disability. London.
5. Bertellotti G, Icarangal A. Spasticity: The Good, The Bad, and the not Ugly // UW Medicine: Harborview Medical Center, Seattle, WA.
6. Ульрих Г. Э., Красавина Д. А., Орлова О. Р., Алексеева А. Ю. Реабилитация спастических форм ДЦП методом ботулинореапии: отечественный препарат РЕЛАТОКС ® // Детская и подростковая реабилитация. — 2018. — № 3. — С. 23–28.
7. Красавина Д. А. Бальберт А. А., Орлова О. Р., Морошек Е. А. Наглядный атлас функциональной анатомии детской спастичности. — Санкт-Петербург: Медлит, 2019.
8. Hainisch R., Gfoehler M., Zubayer-Ul-Karim M., Pandy M. G. Method for determining musculotendon parameters in subject-specific musculoskeletal models of children developed from MRI data// Multibody Syst. Dyn. — 2012. — V. 28. — P. 143–156. — DOI: 10.1007/s11044–011–9289–0.
9. Winter D. A. Kinematic and kinetic patterns in human gait: Variability and compensating effects// Human Movement Science. — 1984. — V. 3. — I. — 1–2. — P. 51–76.
10. Functional Stretching Exercise Submitted for Spastic Diplegic Children: A Randomized Control Study. Hindawi Publishing Corporation Rehabilitation Research and Practice // dx.doi.org/10.1155/2014/814279.
11. Pin T., Dyke P., Chan M. The effectiveness of passive stretching in children with cerebral palsy// Developmental Medicine & Child Neurology. — 2006. — V. — 48. — P. 855–862.
Review
For citations:
Krasavina D.A., Orlova O.R., Vasilyeva O.N., Balbert A.A., Moroshek E.A. Botulinum therapy of spastic forms of cerebral palsy with Relatox® in children. Medical alphabet. 2019;3(24):10-17. (In Russ.) https://doi.org/10.33667/2078-5631-2019-3-24(399)-10-17