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Does Botulinum toxi...
Does Botulinum toxin A improve the walking pattern in children with idiopathic toe-walking?
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- Engström, Pähr (författare)
- Karolinska Institutet
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- Gutierrez-Farewik, Elena, 1973- (författare)
- Karolinska Institutet,KTH,Biomekanik,Strukturmekanik,Anders Eriksson
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- Bartonek, Åsa (författare)
- Karolinska Institutet
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- Tedroff, Kristina (författare)
- Karolinska Institutet
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- Orefelt, Christina (författare)
- Karolinska Institutet, Dept. of Women's and Children's Health
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- Haglund-Åkerlind, Yvonne (författare)
- Karolinska Institutet, Dept. of Women's and Children's Health
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(creator_code:org_t)
- 2010-08-01
- 2010
- Engelska.
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Ingår i: Journal of Children's Orthopaedics. - : SAGE Publications. - 1863-2521 .- 1863-2548. ; 4:4, s. 301-308
- Relaterad länk:
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https://europepmc.or...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
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- Background: Numerous recommendations have been made for treating idiopathic toe-walking (ITW), but the treatment results have been questioned. The purpose of this study was to investigate whether botulinum toxin A (BTX) improves the walking pattern in ITW as examined with 3-D gait analysis. Participants and methods: A consecutive series of 15 children (aged 5-13 years) were enrolled in the study. The children underwent a 3-D gait analysis prior to treatment with a total of 6 units/kg bodyweight Botox® in the calf muscles and an exercise program. The gait analysis was repeated 3 weeks and 3, 6, and 12 months after treatment. A classification of toe-walking severity was made before treatment and after 12 months. The parents rated the perceived amount of toe-walking prior to treatment and 6 and 12 months after treatment. Results: Eleven children completed the 12-month follow-up. The gait analysis results displayed a significant improvement, indicating decreased plantarflexion angle at initial contact and during swing phase and increased dorsiflexion angle during midstance at all post-treatment testing instances. According to the parents' perception of toe-walking, 3/11 children followed for 12 months had ceased toe-walking completely, 4/11 decreased toe-walking, and 4/11 continued toe-walking. After 6-12 months, the toe-walking severity classification improved in 9 of the 14 children for whom data could be assessed. Conclusions: A single injection of BTX in combination with an exercise program can improve the walking pattern in children with ITW seen at gait analysis, but the obvious goal of ceasing toe-walking is only occasionally reached.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- 3-D gait analysis; Botulinum toxin A; Gait analysis; Habitual toe-walking; Idiopathic toe-walking; Toe-walking
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- ref (ämneskategori)
- art (ämneskategori)
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