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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 Gramatikova
, Stamenka Mitova,
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
Correspondence 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