Friday, April 9, 2010

Botox, OT, PT and E Stim

An initial study was undertaken on the use of Botox Type A injected into the upper limb muscles of 10 children followed by 10 sessions of OT and PT and then followed by 10 sessions of neuromuscular electrical stimulation on the wrist extensors. Results indicated an improvement in hand function. A trend was seen in a reduction of spasticity and an increase in range of motion but no significant difference was noted. The researchers plan on doing a future study to determine the exact effects of the treatments.

Reference: Rodríguez-Reyes, Gerardo; Alessi-Montero, Aldo; Díaz-Martínez, Leticia; Miranda-Duarte, Antonio; Pérez-Sanpablo, Alberto Isaac Botulinum Toxin, Physical and Occupational Therapy, and Neuromuscular Electrical Stimulation to Treat Spastic Upper Limb of Children With Cerebral Palsy: A Pilot Study Artificial Organs, Volume 34, Number 3, March 2010 , pp. 230-234(5)

2 comments:

TheRextras said...

Seems to me many parents continue to have difficulty deciding on Botox injections for their children. See this discussion: http://specialchildren.about.com/b/2006/02/09/botox-helps-kids-with-cp-no-not-with-wrinkles.htm

The summary of this particular study does not strike me as helping them make a decision. Which way do you lean on what this study says, Margaret?

Barbara

Your Therapy Source Inc said...

I think the purpose of this study was to complete it with a small sample size to establish the criteria for a much larger study. That is why it was termed a "pilot study". According to this research, seems like a lot of work on the part of the child with not very impressive results.