Does Botulinum toxin A improve the walking pattern in children with idiopathic toe-walking?

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Engström, PährKarolinska Institutet (author)

Does Botulinum toxin A improve the walking pattern in children with idiopathic toe-walking?

Article/chapterEnglish2010

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2010-08-01
SAGE Publications,2010
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LIBRIS-ID:oai:DiVA.org:kth-74930
https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-74930URI
https://doi.org/10.1007/s11832-010-0263-9DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:221804891URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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QC 20120217
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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
3-D gait analysis; Botulinum toxin A; Gait analysis; Habitual toe-walking; Idiopathic toe-walking; Toe-walking

Added entries (persons, corporate bodies, meetings, titles ...)

Gutierrez-Farewik, Elena,1973-Karolinska Institutet,KTH,Biomekanik,Strukturmekanik,Anders Eriksson(Swepub:kth)u1tekbf6 (author)
Bartonek, ÅsaKarolinska Institutet (author)
Tedroff, KristinaKarolinska Institutet (author)
Orefelt, ChristinaKarolinska Institutet, Dept. of Women's and Children's Health (author)
Haglund-Åkerlind, YvonneKarolinska Institutet, Dept. of Women's and Children's Health (author)
Karolinska InstitutetBiomekanik (creator_code:org_t)

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In:Journal of Children's Orthopaedics: SAGE Publications4:4, s. 301-3081863-25211863-2548

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Orthopaedics

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By the university: Royal Institute of Technology; Karolinska Institutet

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