Upper limbs function after intrathecal baclofen therapy in children with secondary dystonia

Journal of Pediatric Orthopedics
Francesco MottaCecilia Stignani

Abstract

Different studies show the efficacy of intrathecal baclofen therapy (ITB) in patients with secondary dystonia because of cerebral palsy. These studies only report improvements related to dystonia reduction; however, none of them have assessed whether such benefit is reflected in limb function. The purpose of our study is to determine whether the effects ITB therapy in patients with secondary dystonia to cerebral palsy, in addition to reducing dystonia, may also improve upper limb function. Eleven patients with secondary dystonia, classified as levels 3 and 4 of the Gross Motor Function Classification System, were treated with ITB. The mean age at implant was 11.3 (SD+/-3.02) years.Before treatment and 12 months after implant, the patients were evaluated by the Melbourne Assessment of Unilateral Upper Limb and the Barry Albright scale to assess upper limb function and dystonia, respectively. We found a statistically significant improvement in both scales. The Melbourne scale total percentage score, for both limbs, increased in all patients (P<0.05). Dystonia assessed by the Barry Albright scale scale decreased significantly by 15% from baseline to 12 months follow-up (P<0.05). In patients with secondary dystonia treated with ITB...Continue Reading

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Citations

Dec 7, 2014·Physical Medicine and Rehabilitation Clinics of North America·Sathya VadiveluWendy Pierce
Oct 30, 2010·AJNR. American Journal of Neuroradiology·A C MiracleD J Quint
Aug 15, 2012·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Hortensia GimenoJean-Pierre Lin
Apr 13, 2011·Developmental Medicine and Child Neurology·Francesco MottaCecilia Stignani
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