Amirsalari S, Dalvand H, Dehghan L, Feizy A, Hosseini Sa, Shamsoddini A,
Volume 69, Issue 8 (6 2011)
Abstract
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Background: The
goal of this study was to compare the efficacy of botulinum toxin type A (BTX-A) injection in the hamstring
and calf muscles with and without ankle serial casting in the improvement of
gait in children with cerebral palsy (CP).
Methods : This double-blind prospective clinical trial was performed on 25, 2 to 8-year-old children with
hemiplegic or diplegic CP in Tehran, Iran in 2010. The participants were chosen by simple randomized sampling and
were matched for age, gross motor function classification system (GMFCS) and type of CP and were randomly divided
into two groups: children in the first group (13) only received BTX-A injection, but the second group (12) received BTX-A and serial foot casting starting one week after the injection.
Results : Comparison of the gross motor function, right and left knee
spasticities and passive ROM of both knees between the two groups before and 1, 3, 6 and 12 months after the injections
were not statistically significant (P>0.1). Furthermore, comparison of the right and left ankle spasticities
and passive ROM before the injections and in1 and 3-month follow-ups did not show a statistically significant difference
(P>0.1),
but the differences were significant in 6 and 12-month follow-ups (P<0.05).
Conclusion: BTX-A injection
with serial foot casting vs. BTX-A
alone was more effective in decreasing spasticity and improving passive ROM in
the ankle of children with CP, but such injections in the
hamstrings were not useful in these regards.
Shahla Afsharpaiman , Amir Skandari , Zareian Jahromi Maryam , Shokoofeh Radfar , Shahnaz Shirbazoo , Susan Amirsalari , Mohammad Torkaman ,
Volume 72, Issue 2 (May 2014)
Abstract
Background: Toxoplasma gondii, is a mandatory intracellular protozoa, that many people worldwide are infected with. In children, the infection enters central nervous system and leads to inflammation of the gray matter. Autism, is a complex develop-mental disorder, altering social communication, with unknown origin. Neuropathologi-cal changes in autism are the same as those occurred in brain toxoplasmosis. The objective of this survey was to evaluate positive serology of toxoplasma gondii, in autistic children.
Methods: This case-control study was done on 3-12 years old children, referring to the neurology and psychiatry sub-special clinics of Baqiyatallah hospital and also autistic children of Omid-e Asr and Navid-e Asr general rehabilitation centers in Tehran, Iran. The study performed at 2012-2013. Forty autistic children were placed in the case group and 40 children, suffering from no neuropsychiatric disease or other ones, were placed in the control group. A folder, containing demographic data, type of the disor-der, onset of diagnosis and child characteristics at birth, such as time of birth (preterm/ term) fulfilled for each child. Sampling was done with 5 ml blood, for determining IgM and IgG antibody levels against toxoplasma gondii, using ELISA method. Data ana-lyzed by the software SPSS ver. 17 and descriptive and analytic analysis were done, us-ing central and dispersion indexes and also chi-Square test.
Results: The autistic group contained 34 boys and 6 girls (85 and 15 percent respectively), with the average age of 6 (±2.71) years old [minimum of 2.33 and maximum of 12]. The average age at the time of diagnosis was 4.01 (±1.87) years old. 87. The non-autistic group contained 17 boys and 23 girls (42.5 and 57.5 percent respectively), with the average age of 5.67 (±3.09) years old [minimum of two and maximum of 12]. IgM and IgG serology of all autistic children were negative, while in non-autistic group, 2.5 percent (1 child) were positive and 97.5 percent (39 ones) were negative. There were no statistically significant difference among these two groups according to the serology results.
(P=0.31).
Conclusion: There was no statistically significant difference in comparing positive se-rology of toxoplasmosis, between the two groups. However, to obtain a perfect result, a larger sample size are required.
