Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Language
Publication year range
1.
Rehabilitación (Madr., Ed. impr.) ; 55(4): 273-281, oct. - dic. 2021. tab, graf
Article in Spanish | IBECS | ID: ibc-227782

ABSTRACT

Introducción El pie equino en niños produce un patrón de marcha inestable e ineficiente y un inadecuado posicionamiento en silla de ruedas. El tratamiento mediante ciclo de yesos seriados mantiene el rango de movimiento, facilitando el desarrollo de patrones de movimiento normales. Su uso combinado con toxina botulínica tiene efectos beneficiosos demostrados, pero faltan pautas para establecer el protocolo de tratamiento óptimo. Objetivo Describir las características de la población con equinismo de diversa etiología y determinar la efectividad del tratamiento con yesos. Valorar su uso junto con toxina botulínica en pacientes con parálisis cerebral espástica. Material y método Estudio analítico longitudinal retrospectivo sobre una muestra de 95 tendones de Aquiles de niños atendidos en consulta de rehabilitación infantil entre 2012 y 2018, con flexión dorsal de tobillo menor de 10°, tratados mediante ciclo de yesos con o sin toxina botulínica. Variables analizadas: sexo, año de comienzo, edad, IMC, diagnóstico, tratamiento previo y/o posterior, espasticidad (Ashworth modificada), lateralidad, rango articular pasivo y activo de flexión dorsal y plantar junto con R1 (escala de Tardieu). Mediciones realizadas con inclinómetro mecánico antes del primer, segundo y tercer yeso, tras el tercer yeso y a los 2, 8 y 14 meses. Fue analizado estadísticamente mediante SPSS. Resultados Existe una mejora estadísticamente significativa de 10,02° (p<0,01) entre flexión dorsal pasiva previa al primer yeso y tras el tercero, manteniéndose en 6,66° (p=0,02) entre la previa y a los 14 meses. Conclusiones Los yesos progresivos son un método efectivo en el control del equinismo de cualquier etiología, con una tasa mínima de complicaciones (AU)


Introduction Equinus in children produces a pattern of unsteady gait and inefficient and inadequate positioning in the wheelchair. Treatment with a serial casting cycle maintains range of motion and facilitates the development of normal movement patterns. Its use in combination with botulinum toxin has proven benefits, but there is a lack of guidance on the optimal management protocol. Objective The aim of this study were to describe the characteristics of the population with equinus of diverse aetiology and to determine the effectiveness of treatment with serial casting. We also aimed to assess its use in conjunction with botulinum toxin in patients with spastic cerebral palsy. Material and method This longitudinal retrospective study included a sample of 95 Achilles tendons of children attended in a children's rehabilitation clinic between 2012 and 2018, with ankle dorsal flexion less than 10°, treated by a cycle of serial casts with or without botulinum toxin. The variables analysed were sex, year when treatment started, age, BMI, diagnosis, previous and/or later treatment, spasticity (modified Ashworth), laterality, active and passive joint range of dorsal and plantar flexion along with R1 (Tardieu). Measurements were carried out with a mechanical inclinometer prior to the first, second and third cast, after the third cast and at 2, 8 and 14 months. The statistical analysis was performed with SPSS®. Results There was a statistically significant improvement of 10.02° between passive dorsal flexion prior to the first cast and after the third cast, which remained at 6.66° (P=.02) between the former and after 14 months. Conclusions Serial casting is an effective method in the management of equinus of any aetiology and has a minimal complication rate (AU)


Subject(s)
Humans , Male , Female , Child , Botulinum Toxins, Type A/therapeutic use , Neuromuscular Blocking Agents/therapeutic use , Equinus Deformity/drug therapy , Muscle Spasticity , Retrospective Studies , Longitudinal Studies
2.
Rehabilitacion (Madr) ; 55(4): 273-281, 2021.
Article in Spanish | MEDLINE | ID: mdl-33771381

ABSTRACT

INTRODUCTION: Equinus in children produces a pattern of unsteady gait and inefficient and inadequate positioning in the wheelchair. Treatment with a serial casting cycle maintains range of motion and facilitates the development of normal movement patterns. Its use in combination with botulinum toxin has proven benefits, but there is a lack of guidance on the optimal management protocol. OBJECTIVE: The aim of this study were to describe the characteristics of the population with equinus of diverse aetiology and to determine the effectiveness of treatment with serial casting. We also aimed to assess its use in conjunction with botulinum toxin in patients with spastic cerebral palsy. MATERIAL AND METHOD: This longitudinal retrospective study included a sample of 95 Achilles tendons of children attended in a children's rehabilitation clinic between 2012 and 2018, with ankle dorsal flexion less than 10°, treated by a cycle of serial casts with or without botulinum toxin. The variables analysed were sex, year when treatment started, age, BMI, diagnosis, previous and/or later treatment, spasticity (modified Ashworth), laterality, active and passive joint range of dorsal and plantar flexion along with R1 (Tardieu). Measurements were carried out with a mechanical inclinometer prior to the first, second and third cast, after the third cast and at 2, 8 and 14 months. The statistical analysis was performed with SPSS®. RESULTS: There was a statistically significant improvement of 10.02° between passive dorsal flexion prior to the first cast and after the third cast, which remained at 6.66° (P=.02) between the former and after 14 months. CONCLUSIONS: Serial casting is an effective method in the management of equinus of any aetiology and has a minimal complication rate.


Subject(s)
Botulinum Toxins, Type A , Neuromuscular Agents , Casts, Surgical , Child , Humans , Muscle Spasticity , Retrospective Studies
SELECTION OF CITATIONS
SEARCH DETAIL
...