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Botulinum A toxin utilizations in obstetric palsy

Atakan Aydın, Zeynep Hoşbay Yıldırım, Ahmet Biçer, Feride Bilir, Gönül Acar, Safiye Özkan, Meral Özmen, Metin Erer.


Abstract
Objectives: Obstetric palsy is the term used for the clinical conditions caused by the traction injury of the brachial plexus during delivery. During nerve regeneration process, cocontraction may occur around shoulder and elbow muscles and cause contractures and movement limitations. Diagnosis of cocontraction can be made by clinical observation and electromyografic workup and for therapy botulinum A toxin is utilized in addition to physyotherapy. The aim of our study was to determine the effects of utilizing botulinum A toxin on upper extremity functions of the cases with obstetric palsy who had cocontraction causing limitations on particular functions clinically.
Methods: In this study, we presented our obstetric palsy cases who had cocontraction around shoulder (47 cases) and elbow (75 cases) and botulinum A toxin was performed for therapy.
Results: According to Mallet classification, shoulder abduction score increased from a point 2.51 to 3.35 (minimum score 0 and maximum score 5); elbow flexion score increased from 1.21 to 3.13 (minimum score 0 and maximum score 5) and the difference was statistically significant (p<0.01).
Conclusion: We conclude that with the help of botulinum A toxin and physyotherapy, obstetrical palsy patient with cocontractions can significantly improve movements and may have less surgery.

Key words: Obstetrical palsy, cocontraction, botulinum toxin

 

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How to Cite this Article
Pubmed Style

Atakan Aydin, Zeynep Hosbay Yildirim, Ahmet Bicer, Feride Bilir, Gonul Acar, Safiye Ozkan, Meral Ozmen, Metin Erer. Botulinum A toxin utilizations in obstetric palsy. Hand Microsurg. 2012; 1(3): 89-94. doi:10.2399/emd.12.93063


Web Style

Atakan Aydin, Zeynep Hosbay Yildirim, Ahmet Bicer, Feride Bilir, Gonul Acar, Safiye Ozkan, Meral Ozmen, Metin Erer. Botulinum A toxin utilizations in obstetric palsy. http://handmicrosurgeryjournal.com/?mno=163423 [Access: December 15, 2018]. doi:10.2399/emd.12.93063


AMA (American Medical Association) Style

Atakan Aydin, Zeynep Hosbay Yildirim, Ahmet Bicer, Feride Bilir, Gonul Acar, Safiye Ozkan, Meral Ozmen, Metin Erer. Botulinum A toxin utilizations in obstetric palsy. Hand Microsurg. 2012; 1(3): 89-94. doi:10.2399/emd.12.93063


Vancouver/ICMJE Style

Atakan Aydin, Zeynep Hosbay Yildirim, Ahmet Bicer, Feride Bilir, Gonul Acar, Safiye Ozkan, Meral Ozmen, Metin Erer. Botulinum A toxin utilizations in obstetric palsy. Hand Microsurg. (2012), [cited December 15, 2018]; 1(3): 89-94. doi:10.2399/emd.12.93063


Harvard Style

Atakan Aydin, Zeynep Hosbay Yildirim, Ahmet Bicer, Feride Bilir, Gonul Acar, Safiye Ozkan, Meral Ozmen, Metin Erer (2012) Botulinum A toxin utilizations in obstetric palsy. Hand Microsurg, 1 (3), 89-94. doi:10.2399/emd.12.93063


Turabian Style

Atakan Aydin, Zeynep Hosbay Yildirim, Ahmet Bicer, Feride Bilir, Gonul Acar, Safiye Ozkan, Meral Ozmen, Metin Erer. 2012. Botulinum A toxin utilizations in obstetric palsy. Hand and Microsurgery, 1 (3), 89-94. doi:10.2399/emd.12.93063


Chicago Style

Atakan Aydin, Zeynep Hosbay Yildirim, Ahmet Bicer, Feride Bilir, Gonul Acar, Safiye Ozkan, Meral Ozmen, Metin Erer. “Botulinum A toxin utilizations in obstetric palsy.” Hand and Microsurgery 1 (2012), 89-94. doi:10.2399/emd.12.93063


MLA (The Modern Language Association) Style

Atakan Aydin, Zeynep Hosbay Yildirim, Ahmet Bicer, Feride Bilir, Gonul Acar, Safiye Ozkan, Meral Ozmen, Metin Erer. “Botulinum A toxin utilizations in obstetric palsy.” Hand and Microsurgery 1.3 (2012), 89-94. Print. doi:10.2399/emd.12.93063


APA (American Psychological Association) Style

Atakan Aydin, Zeynep Hosbay Yildirim, Ahmet Bicer, Feride Bilir, Gonul Acar, Safiye Ozkan, Meral Ozmen, Metin Erer (2012) Botulinum A toxin utilizations in obstetric palsy. Hand and Microsurgery, 1 (3), 89-94. doi:10.2399/emd.12.93063