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Master Thesis

Intérêt de la kinésithérapie à la suite des injections de toxine botulique de type A chez les enfants atteints de paralysie cérébrale

Abstract : Introduction: Cerebral palsy is today the most common pathology leading to a motor disability in children. Physiotherapy has always been, and still is, an essential management for the evolution of the child. Therefore, in order to maximize its effects, botulinum toxin injections may be proposed with the aim of reducing spasticity and thus improving global motor function. Objective: The aim of this systematic review is to assess the evolution of spasticity and global motor function following physiotherapy management, with or without injections of type A botulinum toxin in children with cerebral palsy. Method: To conduct this review, 7 studies were included. These were found in three different databases (PubMed, Pedro, Cochrane). All of these articles are randomized clinical trials involving children from 2 to 13 years. Results and analysis : A significant decrease in spasticity was noted in articles including this judgment criterion. As regards global motor function the results observed following intervention do not allow certain conclusion to be drawn. Discussion: The results found are to be weighed against variable effect sizes, a low number of study participants and a sometimes low methodological quality of included articles. Moreover, the cost of botulinum toxin injections and the constraints fort children and parents can sometimes act as a barrier to this therapy.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03356942
Contributor : Ifmk Amu Connect in order to contact the contributor
Submitted on : Tuesday, September 28, 2021 - 3:20:46 PM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM

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Fanny Khezami. Intérêt de la kinésithérapie à la suite des injections de toxine botulique de type A chez les enfants atteints de paralysie cérébrale. Médecine humaine et pathologie. 2021. ⟨dumas-03356942⟩

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