AI Article Synopsis
- - The review discusses updated approaches to treating hypertonia in cerebral palsy, focusing on various management methods including physical, pharmaceutical, neurosurgical, and orthopedic options.
- - Recent findings highlight the effectiveness of combining serial casting with Botulinum neurotoxin A for spasticity, and new technologies like deep brain stimulation and intraventricular baclofen for treating dystonia and mixed tone.
- - The management strategies aim to enhance patient functionality and include both surgical and nonsurgical options, with a need for more clinical trials to explore the effectiveness of newer treatments like deep brain stimulation and rhizotomy.
Article Abstract
Purpose Of Review: The review provides an update on the treatment of hypertonia in cerebral palsy, including physical management, pharmacotherapy, neurosurgical, and orthopedic procedures.
Recent Findings: Serial casting potentiates the effect of Botulinum neurotoxin A injections for spasticity. Deep brain stimulation, intraventricular baclofen, and ventral and dorsal rhizotomy are emerging tools for the treatment of dystonia and/or mixed tone. The long-term results of selective dorsal rhizotomy and the timing of orthopedic surgery represent recent advances in the surgical management of hypertonia.
Summary: Management of hypertonia in cerebral palsy targets the functional goals of the patient and caregiver. Treatment options are conceptualized as surgical or nonsurgical, focal or generalized, and reversible or irreversible. The role of pharmacologic therapies is to improve function and mitigate adverse effects. Further investigation, including clinical trials, is required to determine the role of deep brain stimulation, intraventricular baclofen, orthopedic procedures for dystonia, and rhizotomy.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/MOP.0000000000000567 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!