[Assessment of spasticity therapy with baclofen pump in children].
OBJECTIVE
The aim of this study was to assess of treatment of spasticity in children with baclofen pump, before and after pump implantation.


METHODS
In a group of 17 patients with spastic hemiparesis, with a different etiology, 2 groups were separated. In the group of 12 the most injured children, spasticity was measured by The Modified Ashworth Scale, before and after baclofen pump implantation. In the group of 5 patients spasticity was assessed by The Modified Ashworth Scale, functional benefits were evaluated with the Barthel index score, and the digree of disability with the Rankin Scale.


RESULTS
In the group of 12 patients, after pump implantation, was observed reduction in spasticity to 2 points in the Modified Ashworth Scale and this effect improves general ease of care and passive excersises. In the second group 3 of 5 patients, have started to walk alone or with orthopedic help.


CONCLUSIONS
Intrathecal baclofen therapy resulted in the good effects in treatment of spasticity in the both groups.
Swierczyńska
Anna
A
Pracownia Neurorehabilitacji, Uniwersytecki Szpital Dzieciecy w Krakowie.
D000293:Adolescent; D000328:Adult; D001418:Baclofen / Q000008:administration & dosage*; D002648:Child; D005240:Feasibility Studies; D005500:Follow-Up Studies; D018755:GABA Agonists / Q000008:administration & dosage / Q000627:therapeutic use*; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D015918:Infusion Pumps, Implantable; D007278:Injections, Spinal / Q000379:methods; D009125:Muscle Relaxants, Central / Q000008:administration & dosage*; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000209:etiology; D011782:Quadriplegia / Q000209:etiology; D013119:Spinal Cord Injuries / Q000150:complications* / Q000628:therapy; D016896:Treatment Outcome
D018755:GABA Agonists; D009125:Muscle Relaxants, Central; D001418:Baclofen