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Background: Standing and walking serve an individual's basic need to move from place to place, and both are the most common activities that people do on a daily basis.
Aim: to investigate the combined effect of botulinum toxin A (BoNT-A) injection and ankle weight on the gait of diplegic children who are using Ankle foot orthoses.
Methods: Sixty children with spastic diplegia were included in this prospective, controlled trial. Children were divided into three groups, each with 20 patients: Group 1 received classical gait rehabilitation; Group 2 received the same gait training while adding ankle weight ; and Group 3 received the same as group 2 plus botulinum toxin injection. The Modified Ashworth Scale (MAS),knee range-of-motion measures, and Hoffman /Myogenic reflex ratio were used to examine patients before the commencement of treatment and post-treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| classical gait training | Active Comparator | physical therapy exercises including classical gait training |
|
| classical gait training using ankle weight | Active Comparator | physical therapy exercises including classical gait training while using ankle weight |
|
| gait training using ankle weight after botulinum toxin injection | Experimental | physical therapy exercises including classical gait training while using ankle weight and with BOTOX injection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| gait training | Other | walking forward, sideway and backward walking on balance board |
|
| Measure | Description | Time Frame |
|---|---|---|
| measurement of knee excursion during gait | evaluation of knee flexion range of motion during gait using two dimension gait analysis. | after 3 months of the treatment program. |
| evaluation of spasticity: modified ashowrth scale scores | hamstring and calf muscles evaluation of spasticity through passive movement .the score ranged from 0 ( nearly normal) to 5 (rigid in flexion or extension) | after 3 months of the treatment program. |
| Measure | Description | Time Frame |
|---|---|---|
| electromyography to asses spasticity in hamstring and calf muscles | Hoffman/Myogenic reflex to assess spasticity ratio | after 3 months of the treatment program. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nahla mohamed, phd | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy,Cairo University | Cairo | Giza Governorate | 02 | Egypt |
tables and figures of statistical analysis published
after publication of the results
through contact the authors
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| ID | Term |
|---|---|
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
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|
| D006296 |
| Health Services |
| D005159 | Health Care Facilities Workforce and Services |