Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Articles online first > European Journal of Physical and Rehabilitation Medicine 2017 Nov 29

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,827


eTOC

 

European Journal of Physical and Rehabilitation Medicine 2017 Nov 29

DOI: 10.23736/S1973-9087.17.04940-1

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Effect of physiotherapeutic intervention on the gait after the application of botulinum toxin in children with cerebral palsy: systematic review

Paulo R. FONSECA Jr 1, Renata C. FRANCO de MOURA 2, Manuela GALLI 3, Claudia SANTOS OLIVEIRA 1

1 Master Program in Rehabilitation Sciences, University Nove de Julho, Nove de Julho, São Paulo, Brazil; 2 Department of Rehabilitation Sciences, University Nove de Julho, São Paulo, Brazil; 3 Department of Electronics, Information and Bioengineering, Institute Polytechnic of Milan, Mylan, Italy


PDF  


BACKGROUND: Cerebral palsy is a group of movement and posture development disorders. 90% of this population has gait impairment, often due to the presence of spasticity. A number of studies emphasize the importance of combined physical therapy with botulinum toxin A treatment. However, no consensus can be reached concerning the content of the physiotherapy programme after treatment with botulinum toxin A.
AIM: The purpose of the present study was to investigate, through a systematic review of the literature, the effects of physiotherapeutic intervention on gait after botulinum toxin application in children with cerebral palsy.
METHODS: Pubmed, Scielo, Cochrane Library, OTseeker and PEDro databases were searched for randomized trial published between January 2000 and January 2017.
RESULTS: Sixty-eight articles were identified, four of which met the eligibility criteria and were selected for the present systematic review. A table was created showing the main characteristics of the studies (groups, inclusion criteria, dosage, injection site, physiotherapeutic intervention, evaluation and outcomes).
CONCLUSIONS: This study offers a view on the increase in the therapeutic effectiveness of botulinum toxin A on the lower limbs when used in conjunction with a physiotherapeutic intervention, with improvements in mobility, gait pattern, range of motion and spasticity, which are maintained after the end of the physical therapy protocol.
CLINICAL REHABILITATION IMPACT: The use of botulinum toxin A on the lower limbs when used in conjunction with a physiotherapeutic intervention, can improve muscle tone, allowing a combined treatment and intended to provide improvement of motor ability and functional skills, and potentially, delay the need for surgery.


KEY WORDS: Botulinum Toxins - Type A - Rehabilitation - Cerebral palsy

top of page

Publication History

Article first published online: November 29, 2017
Manuscript accepted: November 28, 2017
Manuscript revised: November 16, 2017
Manuscript received: August 9, 2017

Cite this article as

Fonseca Jr PR, Franco de Moura RC, Galli M, Santos Oliveira C. Effect of physiotherapeutic intervention on the gait after the application of botulinum toxin in children with cerebral palsy: systematic review. Eur J Phys Rehabil Med 2017 Nov 29. DOI: 10.23736/S1973-9087.17.04940-1

Corresponding author e-mail

paulofonseca28@gmail.com