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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
45
walking forward, sideway and backward walking on balance board
Faculty of Physical Therapy,Cairo University
Cairo, Giza Governorate, Egypt
measurement of knee excursion during gait
evaluation of knee flexion range of motion during gait using two dimension gait analysis.
Time frame: 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)
Time frame: after 3 months of the treatment program.
electromyography to asses spasticity in hamstring and calf muscles
Hoffman/Myogenic reflex to assess spasticity ratio
Time frame: after 3 months of the treatment program.
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