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Intrathecal Baclofen in tetraplegia of spinal origin : efficacy for upper extremity hypertonia
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BURNS AS; MEYTHALER JM
SPINAL CORD , 2001, vol. 39, n° 8, p. 413-419 Doc n°: 101794 Localisation : Centre de Réadaptation de Lay St Christophe , en ligne Descripteurs : AE2 - PARAPLEGIE-TETRAPLEGIE Url : http://www.nature.com/sc/archive/index.html OBJECTIVES: To evaluate the efficacy of intrathecal baclofen (ITB) for upper extremity spastic hypertonia in tetraplegia of spinal origin. SETTING: University of Alabama at Birmingham hospital. METHODS: The medical records of 14 individuals with tetraplegia of spinal origin who underwent intrathecal baclofen pump placement were reviewed. The effects of intrathecal baclofen on spasm frequency, deep tendon reflexes, and tone (Ashworth scale) were assessed for the upper and lower extremities for a 1-year follow-up period. RESULTS: There were statistically significant declines in upper extremity spasm scores (1.8 points, P=0.012), reflex scores (1.4 points, P<0.0001) and Ashworth scores (0.6 points, P<0.0001) for the 1-year follow-up period. For the lower extremities, all decreases were significant (P<0.0001). There was also a statistically significant Langue : ANGLAIS Identifiant basis : 2001217748 |
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