Treatment of spasticity in children and adolescents with cerebral palsy in Northern Europe: a CP-North registry study
Abstract Background Spasticity is present in more than 80% of the population with cerebral palsy (CP). The aim of this study was to describe and compare the use of three spasticity reducing methods; Botulinum toxin-A therapy (BTX-A), Selective dorsal rhizotomy (SDR) and Intrathecal baclofen therapy...
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ftunivhelsihelda:oai:helda.helsinki.fi:10138/579665 2024-09-09T19:46:40+00:00 Treatment of spasticity in children and adolescents with cerebral palsy in Northern Europe: a CP-North registry study Hägglund, Gunnar Hollung, Sandra J. Ahonen, Matti Andersen, Guro L. Eggertsdóttir, Guðbjörg Gaston, Mark S. Jahnsen, Reidun Jeglinsky-Kankainen, Ira Nordbye-Nielsen, Kirsten Tresoldi, Ilaria Alriksson-Schmidt, Ann I. 2024-07-30T14:44:21Z application/pdf http://hdl.handle.net/10138/579665 https://doi.org/10.1186/s12883-021-02289-3 en eng BMC Neurology. 2021 Jul 12;21(1):276 https://doi.org/10.1186/s12883-021-02289-3 http://hdl.handle.net/10138/579665 The Author(s) Journal Article 2024 ftunivhelsihelda https://doi.org/10.1186/s12883-021-02289-3 2024-07-31T23:42:49Z Abstract Background Spasticity is present in more than 80% of the population with cerebral palsy (CP). The aim of this study was to describe and compare the use of three spasticity reducing methods; Botulinum toxin-A therapy (BTX-A), Selective dorsal rhizotomy (SDR) and Intrathecal baclofen therapy (ITB) among children and adolescents with CP in six northern European countries. Methods This registry-based study included population-based data in children and adolescents with CP born 2002 to 2017 and recorded in the follow-up programs for CP in Sweden, Norway, Denmark, Iceland and Scotland, and a defined cohort in Finland. Results A total of 8,817 individuals were included. The proportion of individuals treated with SDR and ITB was significantly different between the countries. SDR treatment ranged from 0% ( Finland and Iceland) to 3.4% (Scotland) and ITB treatment from 2.2% (Sweden) to 3.7% (Denmark and Scotland). BTX-A treatment in the lower extremities reported 2017–2018 ranged from 8.6% in Denmark to 20% in Norway (p < 0.01). Mean age for undergoing SDR ranged from 4.5 years in Norway to 7.3 years in Denmark (p < 0.01). Mean age at ITB surgery ranged from 6.3 years in Norway to 10.1 years in Finland (p < 0.01). Mean age for BTX-A treatment ranged from 7.1 years in Denmark to 10.3 years in Iceland (p < 0.01). Treatment with SDR was most common in Gross Motor Function Classification System (GMFCS) level III, ITB in level V, and BTX-A in level I. The most common muscle treated with BTX-A was the calf muscle, with the highest proportion in GMFCS level I. BTX-A treatment of hamstring and hip muscles was most common in GMFCS levels IV-V in all countries. Conclusion There were statistically significant differences between countries regarding the proportion of children and adolescents with CP treated with the three spasticity reducing methods, mean age for treatment and treatment related to GMFCS level. This is likely due to differences in the availability of these treatment methods and/or differences in ... Article in Journal/Newspaper Iceland HELDA – University of Helsinki Open Repository Norway BMC Neurology 21 1 |
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HELDA – University of Helsinki Open Repository |
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English |
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Abstract Background Spasticity is present in more than 80% of the population with cerebral palsy (CP). The aim of this study was to describe and compare the use of three spasticity reducing methods; Botulinum toxin-A therapy (BTX-A), Selective dorsal rhizotomy (SDR) and Intrathecal baclofen therapy (ITB) among children and adolescents with CP in six northern European countries. Methods This registry-based study included population-based data in children and adolescents with CP born 2002 to 2017 and recorded in the follow-up programs for CP in Sweden, Norway, Denmark, Iceland and Scotland, and a defined cohort in Finland. Results A total of 8,817 individuals were included. The proportion of individuals treated with SDR and ITB was significantly different between the countries. SDR treatment ranged from 0% ( Finland and Iceland) to 3.4% (Scotland) and ITB treatment from 2.2% (Sweden) to 3.7% (Denmark and Scotland). BTX-A treatment in the lower extremities reported 2017–2018 ranged from 8.6% in Denmark to 20% in Norway (p < 0.01). Mean age for undergoing SDR ranged from 4.5 years in Norway to 7.3 years in Denmark (p < 0.01). Mean age at ITB surgery ranged from 6.3 years in Norway to 10.1 years in Finland (p < 0.01). Mean age for BTX-A treatment ranged from 7.1 years in Denmark to 10.3 years in Iceland (p < 0.01). Treatment with SDR was most common in Gross Motor Function Classification System (GMFCS) level III, ITB in level V, and BTX-A in level I. The most common muscle treated with BTX-A was the calf muscle, with the highest proportion in GMFCS level I. BTX-A treatment of hamstring and hip muscles was most common in GMFCS levels IV-V in all countries. Conclusion There were statistically significant differences between countries regarding the proportion of children and adolescents with CP treated with the three spasticity reducing methods, mean age for treatment and treatment related to GMFCS level. This is likely due to differences in the availability of these treatment methods and/or differences in ... |
format |
Article in Journal/Newspaper |
author |
Hägglund, Gunnar Hollung, Sandra J. Ahonen, Matti Andersen, Guro L. Eggertsdóttir, Guðbjörg Gaston, Mark S. Jahnsen, Reidun Jeglinsky-Kankainen, Ira Nordbye-Nielsen, Kirsten Tresoldi, Ilaria Alriksson-Schmidt, Ann I. |
spellingShingle |
Hägglund, Gunnar Hollung, Sandra J. Ahonen, Matti Andersen, Guro L. Eggertsdóttir, Guðbjörg Gaston, Mark S. Jahnsen, Reidun Jeglinsky-Kankainen, Ira Nordbye-Nielsen, Kirsten Tresoldi, Ilaria Alriksson-Schmidt, Ann I. Treatment of spasticity in children and adolescents with cerebral palsy in Northern Europe: a CP-North registry study |
author_facet |
Hägglund, Gunnar Hollung, Sandra J. Ahonen, Matti Andersen, Guro L. Eggertsdóttir, Guðbjörg Gaston, Mark S. Jahnsen, Reidun Jeglinsky-Kankainen, Ira Nordbye-Nielsen, Kirsten Tresoldi, Ilaria Alriksson-Schmidt, Ann I. |
author_sort |
Hägglund, Gunnar |
title |
Treatment of spasticity in children and adolescents with cerebral palsy in Northern Europe: a CP-North registry study |
title_short |
Treatment of spasticity in children and adolescents with cerebral palsy in Northern Europe: a CP-North registry study |
title_full |
Treatment of spasticity in children and adolescents with cerebral palsy in Northern Europe: a CP-North registry study |
title_fullStr |
Treatment of spasticity in children and adolescents with cerebral palsy in Northern Europe: a CP-North registry study |
title_full_unstemmed |
Treatment of spasticity in children and adolescents with cerebral palsy in Northern Europe: a CP-North registry study |
title_sort |
treatment of spasticity in children and adolescents with cerebral palsy in northern europe: a cp-north registry study |
publishDate |
2024 |
url |
http://hdl.handle.net/10138/579665 https://doi.org/10.1186/s12883-021-02289-3 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
BMC Neurology. 2021 Jul 12;21(1):276 https://doi.org/10.1186/s12883-021-02289-3 http://hdl.handle.net/10138/579665 |
op_rights |
The Author(s) |
op_doi |
https://doi.org/10.1186/s12883-021-02289-3 |
container_title |
BMC Neurology |
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21 |
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1 |
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