Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)
The incidence of plexus brachial birth injuries consists 0.12 % of births (0.04–0.20 %). Although the possibility of complete recovery is relatively high, 10–30 % patients have secondary deformity and limitation of upper limb function due to muscle imbalance and co-contraction around the shoulder an...
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| Format: | Article |
| Language: | Russian |
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ABV-press
2020-06-01
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| Series: | Нервно-мышечные болезни |
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| Online Access: | https://nmb.abvpress.ru/jour/article/view/370 |
| Summary: | The incidence of plexus brachial birth injuries consists 0.12 % of births (0.04–0.20 %). Although the possibility of complete recovery is relatively high, 10–30 % patients have secondary deformity and limitation of upper limb function due to muscle imbalance and co-contraction around the shoulder and elbow cause abnormal motor performance, osseous deformities and joint contracture. Botulinum toxin type A injections into targeted muscles in combination with occupation therapy, physiotherapy or operative treatment reduce the abnormal cocontraction of the antagonist muscles and help to restore muscles balance and prevent secondary deformities. The article discuses indications for botulinum injection therapy, target muscles, doses of botulinum toxin A, optimal patient’s age and results of treatment. |
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| ISSN: | 2222-8721 2413-0443 |