Retrospective analysis of treatment indicator of conservative treatment and intervention of surgery of spasticity of upper and inferior limb of an interdisciplinary neuro-orthopedic spasticity consultation
Details
State: Public
Version: After imprimatur
Serval ID
serval:BIB_E0F45947C1F5
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
Retrospective analysis of treatment indicator of conservative treatment and intervention of surgery of spasticity of upper and inferior limb of an interdisciplinary neuro-orthopedic spasticity consultation
Director(s)
DISERENS K.
Codirector(s)
ZAMBELLI P.-Y.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2015
Language
english
Number of pages
17
Abstract
Abstract
BACKGROUND AND OBJECTIVE: This retrospective study analyses the goal assessment of the treatment of spasticity. The indications for and the achievement of the goal of botulinum toxin injections were compared to orthopedic procedures and others.
METHODS: A database was created from the patients' medical files. The efficiency of treatment was then evaluated using the improvement in the sub-goals of the International Classification of Functioning, Disability and Health (ICF): pain (B280-B289), function of the joints and bones (B710-B729), improvement of mobility (D450-DN83) and personal maintenance (D510-D599). The results are discussed after a literature review.
RESULTS: The botulinum toxin injection was more common than orthopedic procedures. Orthopedic procedures showed a tendency to be more efficient regarding the improvement in ICF objectives.
CONCLUSIONS: This study was unable to prove a statistically significant difference between botulinum toxin and orthopedic procedure regarding ICF objectives due to the number of subjects being too small. But it showed that 83.4% of patients were treated by botulinum toxin before surgery and only operated in the case of failed goal-achievement. The surgery then enabled the goal to be achieved. This systematic goal assessment is necessary in order to understand better the efficiency of the management of spasticity treatment methods.
BACKGROUND AND OBJECTIVE: This retrospective study analyses the goal assessment of the treatment of spasticity. The indications for and the achievement of the goal of botulinum toxin injections were compared to orthopedic procedures and others.
METHODS: A database was created from the patients' medical files. The efficiency of treatment was then evaluated using the improvement in the sub-goals of the International Classification of Functioning, Disability and Health (ICF): pain (B280-B289), function of the joints and bones (B710-B729), improvement of mobility (D450-DN83) and personal maintenance (D510-D599). The results are discussed after a literature review.
RESULTS: The botulinum toxin injection was more common than orthopedic procedures. Orthopedic procedures showed a tendency to be more efficient regarding the improvement in ICF objectives.
CONCLUSIONS: This study was unable to prove a statistically significant difference between botulinum toxin and orthopedic procedure regarding ICF objectives due to the number of subjects being too small. But it showed that 83.4% of patients were treated by botulinum toxin before surgery and only operated in the case of failed goal-achievement. The surgery then enabled the goal to be achieved. This systematic goal assessment is necessary in order to understand better the efficiency of the management of spasticity treatment methods.
Keywords
spasticity, management, botulinum toxin, orthopedic procedure
Create date
01/09/2016 9:42
Last modification date
20/08/2019 17:05
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