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자료유형
학술저널
저자정보
Soolim Lee (Department of Rehabilitation Medicine Konkuk University School of Medicine & Konkuk University Medical Center Seoul Korea) Cheolhwan Hyun (Department of Rehabilitation Medicine Konkuk University School of Medicine & Konkuk University Medical Center Seoul Korea) Kyungmin KIM (Department of Rehabilitation Medicine Konkuk University School of Medicine & Konkuk University Medical Center Seoul Korea) Hyo Eun Kwon (Department of Rehabilitation Medicine Konkuk University School of Medicine & Konkuk University Medical Center Seoul Korea) Minwoo Woo (Department of Rehabilitation Medicine Konkuk University School of Medicine & Konkuk University Medical Center Seoul Korea) Seong-Eun Koh (Department of Rehabilitation Medicine Konkuk University School of Medicine & Konkuk University Medical Center Seoul Korea)
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제47권 제1호
발행연도
2023.2
수록면
11 - 18 (8page)
DOI
10.5535/arm.22108

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Objective To systematically review the effect of intrathecal baclofen pump insertion in children with cerebral palsy (CP) with respect to scoliosis. Methods A systematic literature search was conducted in PubMed, Embase, Cochrane Library, and Google Scholar databases up to June 2022. The inclusion criteria were as follows: (1) studies with a quantitative study design; (2) studies with a study group of children with CP; (3) studies comparing scoliosis in children with and without an intrathecal baclofen pump; and (4) studies with Cobb’s angle as a parameter. Results Of the 183 studies found, four studies, all of which were retrospective comparative studies, met the aforementioned inclusion criteria. All studies were homogeneous (I2=0%, p=0.53) and intrathecal baclofen pump insertion accelerated the progression of scoliosis (standard mean difference=0.27; 95% confidence interval=0.07–0.48). Conclusion Intrathecal baclofen pumps have been used to alleviate spasticity in children with CP, thus aiding their daily activities and movements. However, their advantages and disadvantages should be reviewed after sufficient time considering the pumps’ negative effect on the course of scoliosis.

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