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Treatment of adductor spasticity with BTX-A in children with CP: A randomized, double-blind, placebo-controlled study

  • Volker Mall
  • , Florian Heinen
  • , Andrea Siebel
  • , Christoph Bertram
  • , Ulrich Hafkemeyer
  • , Jörg Wissel
  • , Steffen Berweck
  • , Fritz Haverkamp
  • , Günter Nass
  • , Leo Döderlein
  • , Nico Breitbach-Faller
  • , Wilhelm Schulte-Mattler
  • , Rudolf Korinthenberg
  • University of Freiburg
  • University of Munich
  • Bruker Optik GmbH
  • University of Cologne
  • University of Münster
  • University of Innsbruck
  • University of Bonn and University Hospital Bonn
  • Department of Child Neurology
  • Heidelberg University
  • Children's Hospital
  • University of Regensburg

Research output: Contribution to journalArticlepeer-review

89 Scopus citations

Abstract

Adductor spasticity in children with cerebral palsy (CP) impairs motor function and development. In a placebo-controlled, double-blind, randomized multicentre study, we evaluated the effects of botulinum toxin A(BTX-A) in 61 children (37 males, 24 females; mean age 6 years 1 month [SD 3y 1mo]) with CP (leg-dominated tetraparesis, n=39; tetraparesis, n=22; GMFCS level I, n=3; II, n=6; III, n=17; IV, n=29; V, n=6). Four weeks after treatment, a significant superiority of BTX-A was observed in the primary outcome measure (knee-knee distance 'fast catch', p=0.002), the Ashworth scale (p=0.001), and the Goal Attainment Scale (p=0.037).

Original languageEnglish
Pages (from-to)10-13
Number of pages4
JournalDevelopmental Medicine and Child Neurology
Volume48
Issue number1
DOIs
StatePublished - Jan 2006
Externally publishedYes

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