CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e936-e943
DOI: 10.1055/s-0044-1792114
Artigo Original
Ortopedia Pediátrica

Botulinum Toxin's Effects on Muscle Tone and Joint Mobility in Children with Congenital Zika Syndrome – A Case Series

Article in several languages: português | English
1   Instituto de Pesquisa Professor Joaquim Amorim Neto (IPESQ), Campina Grande, PB, Brasil
,
1   Instituto de Pesquisa Professor Joaquim Amorim Neto (IPESQ), Campina Grande, PB, Brasil
,
1   Instituto de Pesquisa Professor Joaquim Amorim Neto (IPESQ), Campina Grande, PB, Brasil
,
1   Instituto de Pesquisa Professor Joaquim Amorim Neto (IPESQ), Campina Grande, PB, Brasil
,
1   Instituto de Pesquisa Professor Joaquim Amorim Neto (IPESQ), Campina Grande, PB, Brasil
,
1   Instituto de Pesquisa Professor Joaquim Amorim Neto (IPESQ), Campina Grande, PB, Brasil
2   Universidade Federal de Juiz de Fora (UFJF), Governador Valadares, MG, Brasil
› Author Affiliations
Financial Support The authors declare that the did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.
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Abstract

Objective To evaluate the effects of the botulinum toxin (BTX-A) on muscle tone and joint mobility in children with congenital Zika syndrome (CZS).

Methods This was a longitudinal case series carried out in a Support Center for Children with Microcephaly, located in Northeastern Brazil. We collected data from the institution's medical records, containing information about muscle tone and passive joint mobility measured at least 3 months before and 4 weeks after BTX-A application.

Results We evaluated 13 children (9 boys) with a mean age of 77 ± 7.1 months. After BTX-A application, a bilateral reduction in the hypertonia level was observed in the elbow flexor (p < 0.01) and hip abductor (p < 0.05) muscles.

Conclusion No changes were observed in joint mobility and no adverse effects were reported by caregivers after application. The use of BTX-A can reduce hypertonia in CZS children, with no impact on joint mobility.

Work carried out at the Professor Joaquim Amorim Neto Research Institute (IPESQ), Campina Grande, PB, Brazil.




Publication History

Received: 30 January 2024

Accepted: 15 August 2024

Article published online:
21 December 2024

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