head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue1
Subject Area: Medicine
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DOI: 10.5272/jimab.2022281.4260
Published online: 01 March 2022

Case report
J of IMAB. 2022 Jan-Mar;28(1):4260-4263
PHYSIOTHERAPEUTIC POTENTIAL BEFORE AND AFTER IMPLANTATION OF INTRATHECAL BACLOFEN INFUSION PUMP FOR TREATING SPASTICITY IN CHILD WITH CEREBRAL PALSY
Mariya GramatikovaORCID logo Corresponding Autoremail, Stamenka MitovaORCID logo,
Department Kinesitherapy, Faculty of Public Health, Health Care and Sports, South-West University, Blagoevgrad, Bulgaria.

ABSTRACT:
Purpose: To monitor and analyze physiotherapeutic potential before and after implantation of an intrathecal baclofen infusion pump for treating spasticity in a child with cerebral palsy.
Material: We present a 6-year-old girl with a massive spastic dystonic motor disorder, after hypoxic brain damage, based on an aspiration event in 2017. The first 6 months after the accident, the child is in a coma, 8 months in a state of awake coma. He has been conscious since the beginning of 2019. The diagnosis is bilateral spastic-dyskinetic paralysis, structural epilepsy, suspected cerebral blindness, subluxation of the hip joints bilaterally. For the period from coma to now, the child has received the following treatment: gastrostomy, replacement with Button, application of ventriculo-peritenoic shunt, botulinum toxin therapy, implantation of intrathecal baclofen infusion pump for treating spasticity. From the third month after the accident until now, physiotherapy is performed 3-4 times a week, monitoring the condition and changes in the functional capabilities of the child.
Results: Before the baclofen pump, physiotherapy is mostly preventive against contractures and ankylosis. The child's functional capabilities and learning in motor activities are severely limited by central spasticity. 6 months after the placement of the baclofen pump, muscle tone decreased, and the child's physiotherapeutic potential increased.
Conclusions: The physiotherapeutic potential is significantly increased after implantation of an intrathecal baclofen infusion pump, as muscle tone is significantly reduced.

Keywords: pediatric neurorehabilitation, functional neurosurgery, baclofen pump, spasticity,

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Please cite this article as: Gramatikova M, Mitova S. Physiotherapeutic potential before and after implantation of intrathecal baclofen infusion pump for treating spasticity in child with cerebral palsy. J of IMAB. 2022 Jan-Mar;28(1):4260-4263. DOI: 10.5272/jimab.2022281.4260

Corresponding AutorCorrespondence to: Assoc. Prof. Mariya Gramatikova, PhD, Department of Kinesitherapy, Faculty of Public Health, Healthcare and Sports, South-West University Neofit Rilski; 66, Ivan Mihaylov, 2700 Blagoevgrad, Bulgaria; E-mail: mari_gramatikova@abv.bg

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Received: 05 September 2021
Published online: 01 March 2022

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