Use of three-dimensional kinematic analysis following upper limb botulinum toxin A for children with hemiplegia

European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies
Anna H MackeyN S Stott

Abstract

To examine whether three-dimensional (3-D) kinematic analysis can detect changes in upper limb tasks (reach and hand-to-mouth) in children with hemiplegia, following upper limb botulinum toxin A injections. Ten children with hemiplegic cerebral palsy (7 males, 3 females, aged 9-17 years). Subjects received botulinum toxin A (Botox) injections into elbow forearm muscles combined with 6 weeks of occupational therapy. Participants completed a 3-D kinematic analysis of two upper limb tasks, Melbourne Assessment of Unilateral Upper Limb Function and modified Ashworth scores measured at baseline, 2, 6 and 12 weeks post-injection. Post-injections, elbow flexor muscle tone was reduced for 12 weeks (p < 0.05). Group differences in active range of motion during 3-D analysis tasks could not be demonstrated at any time post-intervention. However, individual analyses found that at 2 weeks post-injection, three subjects had >15 degrees increases in active elbow extension and six subjects showed an increase of >25 degrees in forearm supination during performance of the reach and hand-to-mouth tasks, respectively. 3-D kinematics can detect changes in active movements during functional tasks following botulinum toxin A injections, suggesting th...Continue Reading

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Citations

Jun 7, 2011·Gait & Posture·Ellen JaspersKaat Desloovere
Nov 17, 2009·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Florian HeinenGuy Molenaers
Aug 4, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hiroki TanikawaYoshikiyo Kanada
Nov 22, 2014·Annals of Biomedical Engineering·Maxime GilliauxChristine Detrembleur
Apr 23, 2016·Developmental Medicine and Child Neurology·Aysu KahramanAkmer Mutlu
Jun 20, 2015·Neurorehabilitation and Neural Repair·Laurence MandonAgnès Roby-Brami
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Mar 1, 2012·Journal of Applied Biomaterials & Functional Materials·Veronica CimolinReinald Brunner

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