Hip migration percentage in children with cerebral palsy treated with botulinum toxin type A

Frank S. Pidcock, David E. Fish, Doug Johnson-Greene, Isabel Borras, John McGready, Charles E. Silberstein

Research output: Contribution to journalArticle

Abstract

Objective: To determine hip radiographic findings in children with cerebral palsy (CP) treated with botulinum toxin type A (BTX-A). Design: Retrospective chart review with correlation to radiographic findings. Setting: Academic center. Participants: Sixteen subjects with CP. Intervention: BTX-A treatment to adductor muscles. Main Outcome Measure: The Reimers hip migration percentage before and after BTX-A. Results: Thirty-two hips in 16 children with CP were treated. We examined the effect of initial migration percentage and initial migration percentage age on the change in migration percentage after BTX-A injection. A significant effect for initial migration percentage (24mo) was not significant (F=.95, P=.34). Patients who had an initial migration percentage of 30% or more and were less than 24 months old were more likely to have a decrease in migration percentage after BTX-A injection compared with patients who were older than 24 months and who had an initial migration percentage of 30% or more. Conclusions: Improvement in hip migration percentage after BTX-A injection is a function of age and the initial migration percentage. BTX-A injections to adductor muscles may be beneficial for some children with CP.

Original languageEnglish (US)
Pages (from-to)431-435
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Volume86
Issue number3
DOIs
StatePublished - Mar 2005

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Type A Botulinum Toxins
Cerebral Palsy
Hip
Muscles
Outcome Assessment (Health Care)

Keywords

  • Botulinum toxin type A
  • Cerebral palsy
  • Hip
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Hip migration percentage in children with cerebral palsy treated with botulinum toxin type A. / Pidcock, Frank S.; Fish, David E.; Johnson-Greene, Doug; Borras, Isabel; McGready, John; Silberstein, Charles E.

In: Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 3, 03.2005, p. 431-435.

Research output: Contribution to journalArticle

Pidcock, Frank S.; Fish, David E.; Johnson-Greene, Doug; Borras, Isabel; McGready, John; Silberstein, Charles E. / Hip migration percentage in children with cerebral palsy treated with botulinum toxin type A.

In: Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 3, 03.2005, p. 431-435.

Research output: Contribution to journalArticle

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AU - Fish,David E.

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AU - McGready,John

AU - Silberstein,Charles E.

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