지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1 - 9 (9page)
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Objective To evaluate the therapeutic effect of botulinum toxin A (BTX-A) injection on spastic gastrocnemius (GCM) and tibialis posterior muscles (TPo) by using the foot pressure measurement system (FPMS).Methods Eighteen ambulatory CP patients were recruited in this study. BTX-A was injected into the GCM at a dose of 6–12 units/kg and TPo at a dose of 4–9 units/kg according to the severity of equinus and varus deformity. Foot contact pattern, pressure time integral (PTI), coronal index using the FPMS and Modified Ashworth Scale (MAS), and visual inspection of gait pattern were used for evaluation of the therapeutic effect of BTX-A injection. Clinical and FPMS data were statistically analyzed according to the muscle group.Results A significant decrease in the MAS score of the GCM and TPo was observed, and spastic equinovarus pattern during gait showed improvement after injection. The GCM+TPo injection group showed a significant decrease in forefoot, lateral forefoot pad, and lateral column PTI, and a significant increase in hindfoot PTI and coronal index. In the GCM only injection group, forefoot PTI and lateral column PTI were significantly decreased and hindfoot PTI was significantly increased. The TPo only injection group showed a significant decrease in lateral column PTI and a significant increase in the coronal index. Change in PTI in the hindfoot showed a significant correlation with the change in MAS score of the GCM. Change in PTI of the lateral column and coronal index showed a significant correlation with the change in MAS score of the TPo. Conclusion The FPMS demonstrated the quantitative therapeutic effect of BTX-A on abnormal pressure distribution in equinovarus foot in detail. The FPMS can be a useful additional tool for evaluation of the effect of BTX-A injection.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Armstrong DG / 1998 / Is there a critical level of plantar foot pressure to identify patients at risk for neuropathic foot ulceration? / J Foot Ankle Surg 37 : 303 ~ 307
Armstrong DG / 1998 / Plantar pressures are higher in diabetic patients following partial foot amputation / Ostomy Wound Manag 44 : 30 ~ 32
Ben-Shabat E / 2013 / Intra- and interrater reliability of the Modified Tardieu Scale for the assess
Bollens B / 2013 / A randomized controlled trial of selective neurotomy versus botulinum toxin for spastic equinovarus foot after stroke / Neurorehabil Neural Repair 27 : 695
Boulay C / 2014 / Dynamic EMG of peroneus longus in hemiplegic children with equinovarus / Ann Phys Rehabil Med 57 : 185 ~ 192
Armstrong DG / 1998 / Plantar pressures are higher in diabetic patients following partial foot amputation / Ostomy Wound Manag 44 : 30 ~ 32
Ben-Shabat E / 2013 / Intra- and interrater reliability of the Modified Tardieu Scale for the assess
Bollens B / 2013 / A randomized controlled trial of selective neurotomy versus botulinum toxin for spastic equinovarus foot after stroke / Neurorehabil Neural Repair 27 : 695
Boulay C / 2014 / Dynamic EMG of peroneus longus in hemiplegic children with equinovarus / Ann Phys Rehabil Med 57 : 185 ~ 192
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