The effect of obturator nerve block on hip lateralization in low functioning children with spastic cerebral palsy

Yonsei Medical Journal
Eun Sook ParkEun Geol Sim

Abstract

Hip adductor spasticity has a great impact on developing hip displacement in children with cerebral palsy (CP). Obturator nerve (ON) block is less invasive intervention rather than soft tissue surgery for reduction of hip adductor spasticity. The aim of this study is to investigate the effect of ON block on hip lateralization in low functioning children with spastic CP. The study was performed by retrospective investigation of the clinical and radiographic follow-up data of low functioning children [gross motor function classification system (GMFCS) level III to V] with spastic cerebral palsy whose hip was subluxated. Migration percentage (MP) was measured on hip radiographs and its annual change was calculated. In intervention group, ON block was done with 50% ethyl alcohol under the guidance of electrical stimulation. The data of 49 legs of 25 children for intervention group and the data of 41 legs of 23 children for nonintervention group were collected. In intervention group, the MP were significantly reduced at 1st follow-up and the MPs at 2nd and last follow-up did not show significant differences from initial MP. Whereas in nonintervention group, the MPs at 1st, 2nd and last follow-up were all significantly increased comp...Continue Reading

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Citations

May 27, 2016·Journal of Korean Neurosurgical Society·Se Yeong JoJae Chan Hwang
May 17, 2018·Annals of Rehabilitation Medicine·Yoona ChoDong-Wook Rha
Jun 3, 2017·Developmental Medicine and Child Neurology·Stacey D MillerKishore Mulpuri

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