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

Flaminia Frascarelli, Lorenzo Masia, Giuseppe Di Rosa, Maurizio Petrarca, Paolo Cappa, Enrico Castelli

Research output: Contribution to journalArticlepeer-review

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

Original languageEnglish
Pages (from-to)988-994
Number of pages7
JournalJournal of Rehabilitation Medicine
Volume41
Issue number12
DOIs
Publication statusPublished - Oct 2009

Keywords

  • Botulinum toxin
  • Child
  • Muscle spasticity
  • Robotics
  • Upper extremity

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

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