Management of Spasticity in lower extremity with Phenol Injections for children with Cerebral Palsy
DR. R.S. KULKARNI*
CIVIL HOSPITAL SINDHUDURG SINDHUDURGNAGARI*
Abstract
Purpose: The purpose of this study was to document impairment, disability, and parent satisfaction outcomes for children with cerebral palsy who receive phenol injections.

Method: 22 children, 3 to 15 years old, participated in this multiple single-subject AB design study. Impairment, disability, and satisfaction outcomes were documented using passive range of motion measurements, modified Ashworth Scale scores, and the Canadian occupational performance measure. These outcomes were measured every two weeks during the two-month baseline phase and the four-month intervention phase. Outcomes for each child were graphed and visually analyzed for changes in level, trend and slope.

Results: After Phenol injections, all children demonstrated an increase in passive range of motion and a decrease in spasticity in the injected muscles. 20 out of 22 children demonstrated improvements in disability and parent satisfaction outcomes.

Conclusion: Improvement in a variety of outcomes may be observed after phenol injection in children with cerebral palsy and lower extremity spasticity who are ambulatory.
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