J Korean Acad Rehabil Med.  2007 Aug;31(4):472-477.

The Effect of Motor Point Block with Alcohol on Hip Adductor Muscles in Spastic Cerebral Palsy

• Ryu SJ
• Kim DH
• Kim EJ
• Cho YK
• Lee SH
• Kang EY

Abstract

OBJECTIVE
To investigate the effectiveness of motor point blocking using 70% alcohol for the treatment of spasticity in patients with cerebral palsy. METHOD: 16 patients with spastic cerebral palsy were injected at both hip adductor muscles with 70% alcohol. The severity of spasticity was assessed with the modified Ashworth scale (MAS) of adductor muscles, and the passive range of motion (PROM) of hip abduction. MAS and PROM were measured before, immediately after, and 1 and 3 months after the motor point block. Satisfaction of caregivers was also checked 3 months after the procedure.
RESULTS
The MAS prior to the motor point block and at 3 months after the procedure were 4.44+/-0.62 and 3.63+/-1.16. The PROM before motor point block and at 3 months after the procedure were 21.81+/-14.14d egrees and 32.81+/-12.37 egrees. 11 out of 16 (68.8%) caregivers reported high satisfaction.
CONCLUSION
Motor point block with 70% alcohol to the hip adductor muscles could be a safe and cost-effective procedure for relieving the localized spasticity of hip adductor muscles in spastic cerebral palsy.

Keyword

Alcohol; Motor point block; Spasticity; Cerebral palsy

MeSH Terms

Caregivers
Cerebral Palsy*
Hip*
Humans
Muscle Spasticity*
Muscles*
Range of Motion, Articular