Tratamiento con toxina botulínica en niños con parálisis cerebral espástica: Análisis del tratamiento en tríceps sural durante 2017-2018 en el Centro de Rehabilitación Infantil Teletón, Uruguay

Alfredo Cerisola; Maite Borderre; Facundo Carranza; Camilo Cuadro; Sofía Cures; Lucía Quintela; Micaela Vázquez; Elizabeth Suárez; Ligia Bacchetta

doi:10.29193/RMU.37.3.2

Authors

Alfredo Cerisola Universidad de la República, Facultad de Medicina, Neuropediatría, Profesor Agregado
Maite Borderre Universidad de la República, Facultad de Medicina, Estudiante de grado, Bachiller
Facundo Carranza Universidad de la República, Facultad de Medicina, Estudiante de grado, Bachiller
Camilo Cuadro Universidad de la República, Facultad de Medicina, Estudiante de grado, Bachiller
Sofía Cures Universidad de la República, Facultad de Medicina, Estudiante de grado, Bachiller
Lucía Quintela Universidad de la República, Facultad de Medicina, Estudiante de grado, Bachiller
Micaela Vázquez Universidad de la República, Facultad de Medicina, Estudiante de grado, Bachiller
Elizabeth Suárez Uruguay, Centro de Rehabilitación Infantil Teletón, Rehabilitación y Medicina Física, Médica especializada
Ligia Bacchetta Uruguay, Centro de Rehabilitación Infantil Teletón, Rehabilitación y Medicina Física, Médica especializada

DOI:

https://doi.org/10.29193/RMU.37.3.2

Keywords:

CEREBRAL PALSY, BOTULINUM TOXINS, MUSCLE SPASTICITY, CHILD

Abstract

Introduction: cerebral palsy (CP) is the most common source of motor disability in children and adolescents. In 85% of cases, the prevailing motor manifestation is spasticity. Botulinum toxin Type A injections (TB-A) have been used to reduce spasticity in children with cerebral palsy (CP). There are no studies at the national level that show whether the results are comparable to those reported in literature.
Objective: to determine the effect of TB-A therapy in the triceps surae along with the physical rehabilitation in children with spastic cerebral palsy (CP) during 2017-2018 at the Teleton Children´s Rehabilitation Center, Uruguay.
Method: retrospective, descriptive study of a single cohort with a longitudinal follow-up was conducted, through the review of medical records belonging to patients with CP with independent or assisted gait, who received TB-A therapy to treat sural triceps spasticity during 2017-2018.
Results: 40 TB-A injection procedures were analysed. A good response was observed one month and three months after being treated with TB-A, evidencing improvement in the dorsiflexion angle between the foot and the knee in flexion and extension, improvement on the modified Ashworth spasticity scale score and, in 95% of procedures, the subjective perception of parents. The effect was observed to decrease towards 6 months after the procedure.
Conclusion: application of TB-A at the Teletón Center shows positive results, comparable to those reported by international blibliography.

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