Citation

Cumlivski R, Redl G, Strobl W, Girsch W, Krebs A, Machowetz P. Schmerz 2009; 23(6): 592-599.

Vernacular Title

Neuromodulation der Spastik bei Kindern durch intrathekal verabreichtes Baclofen.

Affiliation

Abteilung für Anästhesie und Intensivmedizin, Orthopädisches Spital Speising GmbH, Speisinger Str. 109, 1130, Wien, Osterreich.

Copyright

(Copyright © 2009, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00482-009-0841-2

PMID

19756767

Abstract

INTRODUCTION: Treatment with intrathecal baclofen (ITB) is an important part of the complex therapy of patients with cerebral spasticity aiming to improve the motoric functions and to reduce pain intensity. MATERIAL AND METHODS: ITB was started in the Orthopaedic Hospital in Speising in 1999. From 1999 to 2006 a total of 15 children aged 3 to 16 years old were selected for this special treatment. RESULTS: The average degree of spasticity according to Ashworth (scale 1-5) could be reduced by ITB from 4.38 to 3.0, the time spent sitting could be increased from 3.3 to 5.8h per day and the pain intensity (VAS 1-10) could be reduced from 4.2 to 0.6. The time necessary for nursing treatment was shortened from 7.5 to 3.4 (VAS 1-10). Also improved was the emotional situation, the ability to swallow, the posture of the head and the concentration ability. CONCLUSION: ITB provides neuromodulation even in pediatric patients with complex neuromotoric spasticity.

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