A single group, pretest-posttest clinical trial for the effects of botulinum toxin injection using dual guidance into the upper extremity muscles for the treatment of focal spasticity in patients with chronic stroke

Year 2018, , 198 - 201, 30.05.2018

Emre Ata , Umit Dincer

https://doi.org/10.17546/msd.420479

Abstract

Objective: This study aimed to
determine if ultrasonography and electrical muscle stimulation-guided botulinum
toxin injection into the upper extremity muscles increases the efficacy of the
treatment of focal spasticity in patients with chronic stroke.

Materials
and Methods: This study included 22 chronic hemiplegic stroke
patients with grade 2 and 3 spasticity in the upper extremity muscles, based on
the Modified Ashworth Scale. The study hypothesis was that ultrasonography and
electrical muscle stimulation-guided botulinum toxin injection would increase
the efficacy of the treatment of spasticity. The Modified Ashworth Scale,
Tardieu Scale, Barthel Index and Fugl-Meyer Motor Assessment Scale were
administered at baseline, and at 2 weeks and 2 months post treatment.

Results: All parameters were improved significantly at 2 weeks post treatment, as
compared to baseline, and the observed improvement persisted at 2 months post
treatment (P < 0.05).

Conclusion: Ultrasonography and
electrical muscle stimulation-guided botulinum toxin injection significantly
improved spasticity and functional recovery in chronic stroke patients with
upper extremity spasticity.

Keywords

Spasticity, botulinum toxin, injection, ultrasonography, stimulation

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