%0 Journal Article %1 Park2006b %A Park, Eun Sook %A Park, Chang Il %A Chang, Hyun Chung %A Park, Chan Woo %A Lee, Don Shin %D 2006 %J Clin Rehabil %K Ankle; Botulinum Toxin Type A; Case-Control Studies; Cerebral Palsy; Child; Child, Presch; Humans; Injections, Intramuscular; Muscle Spasticity; Muscle, Skeletal; Neuromu; ool; scular Agents %N 8 %P 668--674 %T The effect of botulinum toxin type A injection into the gastrocnemius muscle on sit-to-stand transfer in children with spastic diplegic cerebral palsy. %V 20 %X OBJECTIVE: To investigate the benefit of botulinum toxin type A injection into the ankle plantarflexor muscle on sit-to-stand transfer in children with spastic diplegic cerebral palsy. DESIGN: Case-control study. SETTING: Inpatients in a university-affiliated hospital. SUBJECTS: Forty spastic diplegic children aged from 2 to 6 years (18 children with botulinum toxin type A injection into both gastrocnemius muscles as an experimental group and 14 children without injection as a control group). MAIN MEASURES: Sit-to-stand transfer task was evaluated using a motion analyser (Vicon 370 MA with six infrared cameras). The tests were performed twice with a two- week interval. The changes in temporal, kinematic and kinetic parameters were investigated in each group. RESULTS: In the control group there were no significant changes in any of the measured parameters between the tests. In the experimental group, total duration (s) of sit-to-stand transfer was shortened after injection (4.35 +/- 2.49 to 2.89 +/- 1.48, P < 0.05). The maximal angles (degrees) of pelvic and hip joints were reduced (28.88 +/- 5.53 to 26.57 +/- 3.73 and 90.78+8.69 to 87.23 +/- 8.76) and the initial angle of ankle dorsiflexion was increased (4.41 +/- 6.16 to 7.08 +/- 6.09) after injection (P < 0.05). The maximal moments (Nm/kg) of the hip and knee joints (0.44 +/- 0.17 to 0.51 +/- 0.21 and 0.13 +/- 0.05 to 0.18 +/- 0.14) were increased while that of the ankle joint was reduced (0.32 +/- 0.09 to 0.28 +/- 0.10) after injection (P < 0.05). Only the cases with greater reduction of spasticity showed an improvement on kinematic and kinetic parameters. CONCLUSION: Botulinum toxin type A injection into spastic ankle plantarflexors led to better accomplishment of sit-to-stand transfer in children with spastic diplegic cerebral palsy.

@article{Park2006b, abstract = {OBJECTIVE: To investigate the benefit of botulinum toxin type A injection into the ankle plantarflexor muscle on sit-to-stand transfer in children with spastic diplegic cerebral palsy. DESIGN: Case-control study. SETTING: Inpatients in a university-affiliated hospital. SUBJECTS: Forty spastic diplegic children aged from 2 to 6 years (18 children with botulinum toxin type A injection into both gastrocnemius muscles as an experimental group and 14 children without injection as a control group). MAIN MEASURES: Sit-to-stand transfer task was evaluated using a motion analyser (Vicon 370 MA with six infrared cameras). The tests were performed twice with a two- week interval. The changes in temporal, kinematic and kinetic parameters were investigated in each group. RESULTS: In the control group there were no significant changes in any of the measured parameters between the tests. In the experimental group, total duration (s) of sit-to-stand transfer was shortened after injection (4.35 +/- 2.49 to 2.89 +/- 1.48, P < 0.05). The maximal angles (degrees) of pelvic and hip joints were reduced (28.88 +/- 5.53 to 26.57 +/- 3.73 and 90.78+8.69 to 87.23 +/- 8.76) and the initial angle of ankle dorsiflexion was increased (4.41 +/- 6.16 to 7.08 +/- 6.09) after injection (P < 0.05). The maximal moments (Nm/kg) of the hip and knee joints (0.44 +/- 0.17 to 0.51 +/- 0.21 and 0.13 +/- 0.05 to 0.18 +/- 0.14) were increased while that of the ankle joint was reduced (0.32 +/- 0.09 to 0.28 +/- 0.10) after injection (P < 0.05). Only the cases with greater reduction of spasticity showed an improvement on kinematic and kinetic parameters. CONCLUSION: Botulinum toxin type A injection into spastic ankle plantarflexors led to better accomplishment of sit-to-stand transfer in children with spastic diplegic cerebral palsy.}, added-at = {2014-07-19T20:59:13.000+0200}, author = {Park, Eun Sook and Park, Chang Il and Chang, Hyun Chung and Park, Chan Woo and Lee, Don Shin}, biburl = {https://www.bibsonomy.org/bibtex/21535f70d7bd4cdc158faeff59a05a2ce/ar0berts}, groups = {public}, interhash = {a1e1f4102636042209aaa1129a563c5a}, intrahash = {1535f70d7bd4cdc158faeff59a05a2ce}, journal = {Clin Rehabil}, keywords = {Ankle; Botulinum Toxin Type A; Case-Control Studies; Cerebral Palsy; Child; Child, Presch; Humans; Injections, Intramuscular; Muscle Spasticity; Muscle, Skeletal; Neuromu; ool; scular Agents}, month = Aug, number = 8, pages = {668--674}, pmid = {16944824}, timestamp = {2014-07-19T20:59:13.000+0200}, title = {The effect of botulinum toxin type A injection into the gastrocnemius muscle on sit-to-stand transfer in children with spastic diplegic cerebral palsy.}, username = {ar0berts}, volume = 20, year = 2006 }