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Category:Windows-only software Category:Windows XP Category:Windows-only freeware Category:Windows Vista Category:Windows 7 Category:Windows XP media creation softwareA prospective randomised controlled trial comparing the efficacy and safety of botulinum toxin type A and type E in the treatment of spastic equinus foot deformity. To compare the efficacy and safety of Botulinum
toxin type A (BTX-A) and Botulinum toxin type E (BTX-E) in the treatment of symptomatic spastic equinus foot deformity in children with cerebral palsy (CP). This study is a prospective randomised controlled trial (SPRCT). Patients were randomly assigned to receive either BTX-A or BTX-E injection according to a randomised schedule. Injections were administered by a single physician who wasblind to the treatment allocation. The primary outcome measure was the change from baseline to six-month follow-up in the 6-minute walk test (6-MWT) distance. Secondary outcomes were the change from baseline to six-month follow-up in the timed ten-metre walk test (10-MWT), the American Academy of Cerebral Palsy Child Evaluation Questionnaire score, the lower limb functional scale(LLFS), the modified Ashworth scale (MAS), the Foot Posture Index (FPI), the Pediatric Evaluation of Disability Inventory score (PEDI), the Visual Analogue Scale (VAS) and the range of ankle joint dorsiflexion. Adverse events were recorded at follow-up visits. Forty-eight patients were enrolled, comprising 24 randomised to BTX-A and 24 to BTX-E. Patient demographics were well matched. A
significant improvement in both the 6-MWT and 10-MWT distance was observed, with no differences between the two treatments. Both the PEDI and LLFS showed similar improvement in these domains between the two groups. The MAS, VAS, FPI and PEDI showed a reduction in spasticity scores. We found no clinically significant differences in efficacy between BTX-A and BTX-E treatments,
both were well tolerated and no serious adverse events occurred. 2 5 * x + 3 * x - x ) * ( 1 + 1 - 1 - f678ea9f9e
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