J Korean Acad Rehabil Med Search


Journal of the Korean Academy of Rehabilitation Medicine 2009;33(2):198-204.
The Effect of Percutaneous Selective Radiofrequency Thermocoagulation in the Treatment of Spasticity with Cerebral Palsy.
Lee, So Young , Oh, Jeong Seob , Jung, Yoon Tae , Choi, Kyung Sik
Department of Rehabilitation Medicine, Keimyung University School of Medicine, Korea. re@dsmc.or.kr
뇌성마비 환아의 경직치료에서 고주파 열응고술의 효과
계명대학교 의과대학 재활의학교실
To compare the therapeutic effects between ra-diofrequency thermocoagulation and phenol motor branch block in treatment of spasticity of child with cerebral palsy.
Thirteen patients with spastic cerebral palsy were randomly divided into two groups. One group received percutaneous selective radiofrequency thermocoagulation on tibial nerve motor branch and the other group received phenol motor branch block to the gastrocnemius muscle. Therapeutic effects were assessed before and after treatment for 6 months in each group. The severity of ankle spasticity was assessed with the modified Ashworth scale (MAS), the modified Tardieu scale (MTS), and the passive range of motion (PROM) of ankle joint.
In both groups, the MAS and MTS decreased, and radiofrequency thermocoagulation group showed more signi-ficant reduction of the spasticity (p<0.05). There was a significant increase in PROM on knee flexion and extension in a radiofrequency thermocoagulation group (p<0.05).
Percutaneous selective radiofrequency thermo-coagulation could be a treatment option for relieving the localized spasticity of ankle in spastic cerebral palsy with little adverse effect. (J Korean Acad Rehab Med 2009; 33: 198-204)
Key Words: Radiofrequency thermocoagulation, Phenol, Cerebral palsy, Spasticity


Browse all articles >

Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2024 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer