FAMILY-CENTRED, GOAL-DIRECTED MULTIDISCIPLINARY APPROACH FOR LOWER EXTREMITY BOTULINUM TOXIN WITH PHYSICAL THERAPY AND REHABILITATION IN CEREBRAL PALSY

Authors : Kübra SEYHAN, Mintaze KEREM GÜNEL, Ece ÜNLÜ AKYÜZ

Pages : 1-10

Doi:10.21653/tjpr.546325

View : 16 | Download : 6

Publication Date : 2020-04-13

Article Type : Research Paper

Abstract :Purpose: This study aimed to investigate lower extremity botulinum toxin insert ignore into journalissuearticles values(BT); and physical therapy and rehabilitation insert ignore into journalissuearticles values(PTR); application scoping “family-centered, goal-directed multidisciplinary approach insert ignore into journalissuearticles values(FGMA);” in the children with cerebral palsy insert ignore into journalissuearticles values(CP); and to assess the satisfaction of parents and children from this approach. Methods: A physician and physiotherapist evaluated 30 children insert ignore into journalissuearticles values(age=6.33±2.38 years); with ambulatory CP and their parents using the FGMA. Gross Motor Function Classification System insert ignore into journalissuearticles values(GMFCS);, Manual Ability Classification System insert ignore into journalissuearticles values(MACS);, and Communication Function Classification System insert ignore into journalissuearticles values(CFCS); were used to define the functionality of children. Selectivity was assessed using the Selective Control Assessment of the Lower Extremity insert ignore into journalissuearticles values(SCALE);. Walking was evaluated using the Observational Gait Scale insert ignore into journalissuearticles values(OGS); and the Gillette Functional Assessment Questionnaire insert ignore into journalissuearticles values(FAQ);. Satisfaction levels marked on the Visual Analogue Scale. Results: Nineteen insert ignore into journalissuearticles values(63%); children were GMFCS level III, 16 insert ignore into journalissuearticles values(53%); children were MACS level I, 19 insert ignore into journalissuearticles values(63.33%); children were CFCS level I. Half of children had visual problems. While the most preferred muscles were hamstring and gastrocnemius for BT, the most common device was ankle-foot orthosis. The median score of SCALE, OGS, and FAQ, and the satisfaction of parents and children were 8 insert ignore into journalissuearticles values(4-17);, 12 insert ignore into journalissuearticles values(2-24);, 2 insert ignore into journalissuearticles values(1-10);, 9 insert ignore into journalissuearticles values(7-10);, and 7 insert ignore into journalissuearticles values(6-10); points, respectively. The satisfaction level of parents with the new approach was higher than the previous traditional approach insert ignore into journalissuearticles values(p<0.001);. Conclusions: Both the parents and children may be satisfied with the FGMA for BT with the PTR program. Clinicians should take into account lower extremity selectivity, walking performance, and satisfaction levels as much as muscle tone or range of motion. Key Words: Botulinum Toxin; Cerebral Palsy; Parent; Physical Therapy.
Keywords : Botulinum toxin, cerebral palsy