Effects of injection of botulinum toxin combined with Vojta training on fine motor function of children with spastic cerebral palsy

Abstract

Objective To investigate the effects of injection of botulinum toxin (BTX) combined with Vojta training on fine motor function of children with spastic cerebral palsy. Methods Sixty children with spastic cerebral palsy who were admitted to Nanyang Central Hospital from January 2014 to January 2019 were selected as the research objects. They were divided into control group and observation group by drawing method, with 30 cases in each group. The control group was given Vojta training only, while the observation group was given injection of BTX and Vojta training. The gross motor function scale (GMFM-88) score, modified Asworth spasticity scale (MAS), fine motor function measure scale (FMFM) score and Peabody developmental motor scale-fine motor (PDMS-FM) score were compared between the two groups. Results After treatment, the adductor angle and popliteal fossa angle of the thigh in the observation group were (119.30±14.81)° and (136.07±14.45)°, respectively, larger than the (109.63±13.43)° and (127.85±13.04)° in the control group (P 0.05). Conclusions Injection of BTX combined with Vojta training can effectively regulate the lower limb joint range of motion, improve the fine motor function of children with spastic cerebral palsy, and improve their quality of life. Key words: Botulinum toxin; Vojta training; Spastic cerebral palsy; Fine motor function