Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/3241
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dc.contributor.authorAktaş, Erdem-
dc.contributor.authorÖmeroğlu, Hakan-
dc.date.accessioned2019-12-30T07:28:06Z-
dc.date.available2019-12-30T07:28:06Z-
dc.date.issued2019-
dc.identifier.citationAktaş, E., & Ömeroğlu, H. (2019). Botulinum toxin type A injection increases range of motion in hip, knee and ankle joint contractures of children with cerebral palsy. Eklem hastaliklari ve cerrahisi= Joint diseases & related surgery, 30(2), 155-162.en_US
dc.identifier.issn1305-8282-
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/313746-
dc.identifier.urihttp://tevak.org/?page=published&ID=1132-
dc.identifier.urihttps://hdl.handle.net/20.500.11851/3241-
dc.description.abstractObjectives: This study aims to evaluate the clinical outcomes of children with spastic type cerebral palsy (CP) treated with botulinum toxin type A (BoNT-A) injection for lower limb contracture and the influence of age, gender, functional level and degree of initial contracture on treatment outcomes. Patients and methods: Clinical records at pre-BoNT-A injection and post-BoNT-A injections of 153 sessions of a total of 118 consecutive children (67 boys, 51 girls; mean age 5.9 +/- 2.6 years; range, 2.5-16 years) were retrospectively evaluated. Degrees of pre- and post-injection contracture were evaluated. Post-injection supplemental casting for 10 days was recorded in all cases. Less than 20 degrees of hip flexion contracture, more than 30 degrees of hip abduction, a negative prone Ely test, less than 50 degrees of popliteal angle and at least 5 degrees of ankle dorsiflexion values at post-injection were accepted as sufficient clinical improvement. Results: Sufficient post-injection range of motion (ROM) was observed in 80% of cases with hip flexion contracture, in 45% of cases with hip adduction contracture, in 84% of cases with knee flexion contracture and in 77% of cases with ankle equinus contracture. Prone Ely test that was positive in 60% of cases with knee extension contracture was negative at post-injection. Improvement in contractures were prominent in children with lesser degree initial contractures. Conclusion: Botulinum toxin type A injection increases ROM in hip, knee and ankle joint contractures in CP. Although age, gender and functional level may influence the clinical outcomes, pre-treatment level of contracture is the main determinant in improvement in ROM at post-injection.en_US
dc.language.isoenen_US
dc.publisherTURKISH JOINT DISEASES FOUNDATIONen_US
dc.relation.ispartofJoint Diseases & Related Surgeryen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBotulinum toxin type Aen_US
dc.subjectcerebral palsyen_US
dc.subjectlower limb contractureen_US
dc.subjectGROSS MOTOR FUNCTIONtr_TR
dc.titleBotulinum Toxin Type a Injection Increases Range of Motion in Hip, Knee and Ankle Joint Contractures of Children With Cerebral Palsyen_US
dc.title.alternativeEklem Hastalıkları ve Cerrahisien_US
dc.typeArticleen_US
dc.departmentFaculties, School of Medicine, Department of Surgical Sciencesen_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümütr_TR
dc.identifier.volume30-
dc.identifier.issue2-
dc.identifier.startpage155-
dc.identifier.endpage162-
dc.identifier.wosWOS:000475356700015en_US
dc.identifier.scopus2-s2.0-85069554735en_US
dc.institutionauthorAktaş, Erdem-
dc.institutionauthorÖmeroğlu, Hakan-
dc.identifier.pmid31291865en_US
dc.identifier.doi10.5606/ehc.2019.65453-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.scopusqualityQ2-
dc.identifier.trdizinid313746en_US
item.openairetypeArticle-
item.languageiso639-1en-
item.grantfulltextopen-
item.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
crisitem.author.dept03.14. Department of Internal Medicine-
Appears in Collections:Cerrahi Tıp Bilimleri Bölümü / Department of Surgical Sciences
PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
TR Dizin İndeksli Yayınlar / TR Dizin Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection
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