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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Main Author: O. E. Agranovich
Format: Article
Language:Russian
Published: ABV-press 2020-06-01
Series:Нервно-мышечные болезни
Subjects:
Online Access:https://nmb.abvpress.ru/jour/article/view/370
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author O. E. Agranovich
author_facet O. E. Agranovich
author_sort O. E. Agranovich
collection DOAJ
description 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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spelling doaj.art-f7f9237f2a8a44fa9405c53a1f552a282023-09-03T09:22:19ZrusABV-pressНервно-мышечные болезни2222-87212413-04432020-06-01101223010.17650/2222-8721-2020-10-1-22-30257Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)O. E. Agranovich0ФГБУ «Научно-исследовательский детский ортопедический институт имени Г. И. Турнера» Минздрава РоссииThe 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.https://nmb.abvpress.ru/jour/article/view/370интранатальная травма плечевого сплетенияботулотоксин акоконтракцияконтрактурыверхние конечности
spellingShingle O. E. Agranovich
Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)
Нервно-мышечные болезни
интранатальная травма плечевого сплетения
ботулотоксин а
коконтракция
контрактуры
верхние конечности
title Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)
title_full Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)
title_fullStr Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)
title_full_unstemmed Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)
title_short Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)
title_sort botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury literature review
topic интранатальная травма плечевого сплетения
ботулотоксин а
коконтракция
контрактуры
верхние конечности
url https://nmb.abvpress.ru/jour/article/view/370
work_keys_str_mv AT oeagranovich botulinumtherapyusinginthecomplextreatmentofchildrenwiththeresultofthebrachialplexusintranatalinjuryliteraturereview