Efficacy of botox a injection in treatment of mild to moderate congenital tightness of tendoachillis in children starting to walk

Abstract EN

Objective: To evaluate the therapeutic effect of intramuscular injection of Botox A on children with mild to moderate shortening of tendoachillis.

Methodology: Forty children were involved in this study, the age ranged from 1 & 2/12 year and 2 & 7/12 years with mean age 1 & 7/12 ± 4/12 years.

Patients were divided into two equal groups.

Patients of the first group had mild tightness, and subdivided into 2groups A & B, each included 10 cases.

Group A was treated by Botox injection, while group B received other physical modalities without Botox injection.

The second group had moderate tightness and subdivided into two groups (C & D), each included 10 cases.

Group C received two Botox injections (once every 3 months) while group D received other physical modalities.

Each group was monthly evaluated up to 6 months, by modified Ashworth scale, patients’ global response Btx A treatment, ankle ROM, pain score, and walking time. Results: There was high percentage of improvement in groups A and C in pain score, kinetic score, tenderness, and walking score.

The percentage of improvement was less in group B and D. Conclusions: Botox A intramuscular injection in the calf muscles of children with mild to moderate tightness tendoachillis had good effects to decreasing pain, tenderness, and muscle tone.