Robot-mediated and clinical scales evaluation after upper limb botulinum toxin type A injection in children with hemiplegia.

Abstract:

OBJECTIVE:The aim of this pilot study was to examine changes in different aspects of impairment, including spasticity in the upper limbs, of hemiplegic children following botulinum toxin type A intervention. Progress was assessed using standard clinical measurements and a robotic device. DESIGN:Pre-post multiple baseline. SUBJECTS:Six children with hemiplegia. METHODS:Botulinium toxin type A injections were administered into the affected upper limb muscles. Outcomes were evaluated before and one month after the injection. Outcome assessments included: Melbourne Scale, Modified Ashworth Scale (MAS) and Passive Range of Motion. Furthermore, a robotic device was employed as an evaluation tool. RESULTS:Patients treated with botulinum toxin type A had significantly greater reduction in spasticity (MAS, p < 0.01), which explains an improvement in upper limb function and quality movement measured with the Melbourne Scale (p < 0.01). These improvements are consistent with robot-based evaluation results that showed statistically significant changes (p < 0.01) following botulinum toxin type A injections. CONCLUSION:The upper limb performs a wide variety of movements. The multi-joint nature of the task during the robot-mediated evaluation required active control of joint interaction forces. There was good correlation between clinical scales and robotic evaluation. Hence the robot-mediated assessment may be used as an additional tool to quantify the degree of motor improvement after botulinum toxin type A injections.

journal_name

J Rehabil Med

authors

Frascarelli F,Masia L,Di Rosa G,Petrarca M,Cappa P,Castelli E

doi

10.2340/16501977-0412

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

988-94

issue

12

eissn

1650-1977

issn

1651-2081

journal_volume

41

pub_type

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