The Effect of Motor Point Block with Alcohol on Hip Adductor Muscles in Spastic Cerebral Palsy.

, Ryu, Soo Jin; , Kim, Dong Hyuk; , Kim, Eun Jin; , Cho, Yun Kyung; , Lee, Sung Hoon; , Kang, Eun Young

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2007;31(4):472-477.

Ryu, Soo Jin , Kim, Dong Hyuk , Kim, Eun Jin , Cho, Yun Kyung , Lee, Sung Hoon , Kang, Eun Young

Department of Rehabilitation Medicine, Kwangju Christian Hospital, Korea. suejinr@naver.com

경직성 뇌성마비 환아에서 고관절 내전근의 알코올 운동점 차단술의 효과

류수진, 김동혁, 김은진, 조윤경, 이성훈, 강은영

광주기독병원 재활의학과

Abstract

Objective
To investigate the effectiveness of motor point blocking using 70% alcohol for the treatment of spasticity in patients with cerebral palsy.
Method
16 patients with spastic cerebral palsy were injected at both hip adductor muscles with 70% alcohol. The severity of spasticity was assessed with the modified Ashworth scale (MAS) of adductor muscles, and the passive range of motion (PROM) of hip abduction. MAS and PROM were measured before, immediately after, and 1 and 3 months after the motor point block. Satisfaction of caregivers was also checked 3 months after the procedure.
Results
The MAS prior to the motor point block and at 3 months after the procedure were 4.44±0.62 and 3.63±1.16. The PROM before motor point block and at 3 months after the procedure were 21.81±14.14° and 32.81±12.37°. 11 out of 16 (68.8%) caregivers reported high satisfaction.
Conclusion
Motor point block with 70% alcohol to the hip adductor muscles could be a safe and cost-effective procedure for relieving the localized spasticity of hip adductor muscles in spastic cerebral palsy. (J Korean Acad Rehab Med 2007; 31: 472-477)

Key Words: Alcohol, Motor point block, Spasticity, Cerebral palsy