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KMID : 0860920040060010052
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2004 Volume.6 No. 1 p.52 ~ p.57
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Swrial Changes After the Trial Use of Bolus Intrathrcal Baclofen for Intractable Spasticity of Spinal Cord Injury Patients
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Ko Hyun-Yoon
Park Jae-Heung
Yang Jin-Hwan
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Abstract
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Objective: This study was conducted to add to the information for preselexrion of intrathecal baclofen (ITB) pump and to evaluate serial changes after the trial use of bolus ITB for intractable spasticity of spinal cord injury (SCI) patients.
Method: Ten SCI patients with severe intractable spasticity who had failed oral antispastic were measured using H/M ratio, Ashworth Scale, Spasm scale and Reflex scale.
Results: There was a significant decrease in spasticity in all patients. After injection of ITB, decreased amount of spasticity for 1 hour was as follows: H/M ratio, 50.34±7.35%; Ashworth Scale, 9.85±5.33%; Spasm scale 34.92±5.86%; Reflex sxale 14.26±4.46%. minimal hours for maximal effect of recovery of spasticity were the next: H/M ratio, 6.0±0.0; Ashworth Scale, 7.9±0.6; Spam scale 9.6±0.7; Reflex scale 8.4±1.1. H/M ratio had a meaningful changes after th trial use of bolus ITB for 1 hour and in minimal hours for maximal effect of spasticity.
Conclusion:Ten SCI patients responded with a reduction in H/M ratio, Ashworth Scale, spasm scale and Reflex scale scores more than two points in ITB bolus trial. H/M ratio are the most sensitive indicator of serial changes after the trial use of bolus ITB for intractable spasticity of SCI patients.
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KEYWORD
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Intrathecal baclofen (ITB), Spasticity, Spinal cord injury (SCI)
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