RESUMO

OBJECTIVE: Investigate the effects of botulinum toxin type A (BoNT-A) combined with physical therapy on functional capacity in children with spastic cerebral palsy (CP). METHODS: Twenty-four children with spastic CP were treated with either BoNT-A and physical therapy or physical therapy alone. RESULTS: Significant differences (p < 0.05) were found after 30 days of treatment for the Berg Scale, Timed Up and Go (TUG) test, Ashworth Scale and Pediatric Evaluation of Disability Inventory (PEDI) and after three months for the Berg Scale, TUG test and PEDI. No significant differences (p > 0.05) were found in the control group. DISCUSSION: BoNT-A combined with physical therapy leads to significant improvements in spasticity and functionality in children with CP within a period of three months from the onset of treatment.

Assuntos

Toxinas Botulínicas Tipo A , Paralisia Cerebral , Espasticidade Muscular , Fármacos Neuromusculares , Modalidades de Fisioterapia , Humanos , Paralisia Cerebral/tratamento farmacológico , Paralisia Cerebral/fisiopatologia , Paralisia Cerebral/reabilitação , Paralisia Cerebral/terapia , Toxinas Botulínicas Tipo A/uso terapêutico , Toxinas Botulínicas Tipo A/administração & dosagem , Masculino , Feminino , Criança , Fármacos Neuromusculares/uso terapêutico , Fármacos Neuromusculares/administração & dosagem , Pré-Escolar , Resultado do Tratamento , Terapia Combinada , Espasticidade Muscular/tratamento farmacológico , Avaliação da Deficiência