Serebral Palside Botulinum Toksin Enjeksiyonu Sonrası Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımları

Year 2024, , 352 - 362, 30.09.2024

Pelin Atalan Efkere , Bülent Elbasan

https://doi.org/10.46237/amusbfd.1438202

Abstract

Serebral Palsi (SP) yenidoğanın gelişmemiş beyninde meydana gelen kalıcı bir hasarın ardından postür ve harekette problemlerle sonuçlanan bir dizi bozukluğu ifade eden şemsiye bir terimdir. SP’de önemli ve oldukça sık görülen bir bozukluk olan spastisitenin yönetiminde Botulinum Toksin (BoNT) enjeksiyonlarından sıklıkla faydalanılmaktadır. BoNT enjeksiyonları tek başına lokal spastisiteyi belli bir süreliğine azaltsa da, elde edilen kazanımların korunması ve fonksiyonların iyileştirilmesi için çeşitli fizyoterapi ve rehabilitasyon uygulamalarına ihtiyaç duyulur. Ancak literatürde BoNT enjeksiyonları sonrası fizyoterapi ve rehabilitasyon uygulamalarına yönelik bir uzlaşı bulunmamaktadır. Bu derlemenin amacı SP’li bireylerde spastik kaslara yapılan BoNT enjeksiyonlarının ardından uygulanan güncel fizyoterapi ve rehabilitasyon yaklaşımlarının özetlenmesi, literatürdeki yerlerinin kanıt düzeyleri vurgulanarak incelenmesi ve etkinliklerinin özetlenmesidir.

Keywords

Serebral palsi, Botulinum toksin, Fizyoterapi, Rehabilitasyon

Current Physiotherapy and Rehabilitation Approaches After Botulinum Toxin Injection in Cerebral Palsy

Abstract

Cerebral Palsy (CP) is an umbrella term that refers to a set of disorders that result in problems with posture and movement following permanent damage to the newborn's immature brain. Botulinum Toxin (BoNT) injections are frequently used in the management of spasticity, which is an important and very common disorder in CP. Although BoNT injections alone reduce local spasticity for a certain period of time, various physiotherapy and rehabilitation applications are needed to maintain the gains achieved and improve functions. However, there is no consensus in the literature regarding physiotherapy and rehabilitation practices after BoNT injections. The aim of this review is to summarize the current physiotherapy and rehabilitation approaches applied after BoNT injections into spastic muscles in individuals with CP, to examine their place in the literature by emphasizing their level of evidence, and to summarize their effectiveness.

Keywords

Cerebral palsy, Botulinum toxin, Physiotherapy, Rehabilitation

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