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The effect of continuous intrathecal baclofen therapy on ambulatory children with cerebral palsy
被引:7
|作者:
Pruszczynski, Blazej
[1
]
Sees, Julieanne
[2
]
Hulbert, Robert
[3
]
Church, Chris
[3
]
Henley, John
[3
]
Niiler, Tim
[3
]
Miller, Freeman
[2
]
机构:
[1] Med Univ Lodz, Clin Orthopaed & Paediat Orthopaed, Lodz, Poland
[2] Nemours Alfred I duPont Hosp Children, Dept Orthoped, POB 269, Wilmington, DE 19899 USA
[3] Nemours Alfred I duPont Hosp Children, Gait Lab, Wilmington, DE USA
来源:
关键词:
baclofen pump;
cerebral palsy;
gait analysis;
spasticity;
tone management;
T-TEST;
RELIABILITY;
SPASTICITY;
ADOLESCENTS;
NORMALITY;
DYSTONIA;
EFFICACY;
INFUSION;
D O I:
10.1097/BPB.0000000000000462
中图分类号:
R826.8 [整形外科学];
R782.2 [口腔颌面部整形外科学];
R726.2 [小儿整形外科学];
R62 [整形外科学(修复外科学)];
学科分类号:
摘要:
The effect of a continuous intrathecal infusion of baclofen (CITB) was retrospectively studied in 19 ambulatory children with cerebral palsy (aged 12.4 +/- 4.9 years at CITB initiation). The mean clinical follow-up was 5.1 +/- 2.4 years and the mean follow-up gait analysis was 2.8 +/- 1.9 years. Spastic cerebral palsy diagnosis [14 (74%)] was most frequent. Most patients [11 (58%)] were Gross Motor Function Classification System level III. CITB significantly improved muscle tone and knee flexion at initial contact (P<0.05), but it did not lead to improved gait speed or gross motor function.
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页码:214 / 220
页数:7
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