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Subject: Effects of Intrathecal Baclofen on Care, Comfort, and Gait (AACPDM Report) Date: 9/20/2002 E-MOVE reports from the 56th Annual Meeting of the American Academy of Cerebral Palsy and Developmental Medicine, held in New Orleans September 11-14 2002. Session numbers and pages refer to abstracts published in Developmental Medicine and Child Neurology 2002;44(supplement 91).1. Impact of intrathecal baclofen pump placement on care and comfort measures in children and adults with cerebral palsy G Revivo, B Tann, P Marlene, L Grant, D Gaebler-Spira D5; 14 Intrathecal baclofen improves care and comfort in children and adults with CP, according to this study. Caregivers for 27 patients (ages 7-29) answered a 17-item questionnaire before and after ITB pump placement. Significant improvements were seen in all three domains-personal care (dressing and hygiene), positioning (wheelchair and orthoses), and comfort (pain and sleep) (all p=0.000001). Disability as measured by the Functional Independence measure did not change. 2. Intrathecal baclofen in children affected by spastic diplegia: A comparison of results among gait analysis, functional, and participative evaluations F Motta, V Buonaguro, EG Eng D6; 14 ITB can improve gait in children who walk without assistive devices, according to this study. Fourteen ambulatory children with spastic diplegia received ITB pump placement. Gait was analyzed before and after a minimum of two years follow-up. In 7 children who walked without assistive devices, standing position and gait improved, and range of motion at the hip, knee and ankle increased. In 7 children who required assistive devices, only knee ROM improved, while crouch gait worsened. Functional improvement was found in 7 children, with no correlation to use or absence of assistive devices. -- 2002 E-MOVE conference reports are made possible in part through unrestricted educational grants from Elan Pharmaceuticals, Glaxo SmithKline, and Pharmacia Corporation. E-MOVE Editor: Richard Robinson, NASW, WE MOVE
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