Open AccessBotulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)
Author(s) -
О. Е. Агранович
Publication year - 2020
Publication title -
nervno-myšečnye bolezni
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 3
eISSN - 2413-0443
pISSN - 2222-8721
DOI - 10.17650/2222-8721-2020-10-1-22-30
Subject(s) - medicine , brachial plexus , contracture , brachial plexus injury , botulinum toxin , deformity , elbow , surgery , joint contracture , upper limb , shoulder joint
The incidence of plexus brachial birth injuries consists 0.12 % of births (0.04–0.20 %). Although the possibility of complete recovery is relatively high, 10–30 % patients have secondary deformity and limitation of upper limb function due to muscle imbalance and co-contraction around the shoulder and elbow cause abnormal motor performance, osseous deformities and joint contracture. Botulinum toxin type A injections into targeted muscles in combination with occupation therapy, physiotherapy or operative treatment reduce the abnormal cocontraction of the antagonist muscles and help to restore muscles balance and prevent secondary deformities. The article discuses indications for botulinum injection therapy, target muscles, doses of botulinum toxin A, optimal patient’s age and results of treatment.