• 作者：M. Rodrí ; guez Piñ ; ero-Durá ; n ; ^{mrpd@telefonica.net} ; C.M. Mesa Ló ; pez ; L. Gó ; mez Linares ; M.E. Martí ; nez-Sahuquillo Amuedo ; C. Echevarrí ; a Ruiz De Vargas
• 关键词：Toxina botulí ; nica tipo A ; Electroestimulaci&oacute ; n ; Precisi&oacute ; n
• 刊名：Rehabilitaci贸n
• 出版年：2011
• 期刊代码：pca300_00487120
• 类别：med
• 出版时间：April-June 2011
• 卷：45
• 期：2
• 页码：112-116
• 文件大小：127 K

lass="h4">Objective

To evaluate the accuracy of manual infilitration versus electrostimulation-guided of the distal or deep muscles of the limbs.

lass="h4">Material and method

A prospective study was carried out in which 289 muscles were injected in 29 patients who had cerebral palsy (aged 1 to 19 years). The accuracy of manual puncturing following anatomical references associated to the reproduction of muscle movement was compared to that guided by electrostimulation.

lass="h4">Results

The spasticity patterns treated as well as the percentages of successful injections guided for anatomical reference for each muscle are shown. The percentage of successful injections was <50%in 10 out of the 16 muscles injected.

lass="h4">Conclusions

To inject small, deep and distal muscles, an instrumental guide such as electrostimulation, which is both easily available and accurate, is required.