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- Title
İnmeli Hastalarda Üst Ekstremite Spastisitesinin Botulinum Toksin Tip A ile Tedavisi.
- Authors
Koçak, Fatmanur Aybala; Aras, Meltem; Köseoğlu, Belma Füsun
- Abstract
Objective: To evaluate the efficacy of botulinum toxin type-A (Btx-A) treatment in patients with upper extremity spasticity that had developed after stroke. Methods: The twenty-five patients that were included in the study were evaluated individually and total dosage of 300U Btx-A was applied to each of the patients. Patients were evaluated before the treatment and in weeks one, four and twelve in the post-treatment period. The following evaluations were performed: active-passive elbow and wrist range of motion (ROM) with goniometer; middle finger tip-to-palm distance with measuring tape; spasticity in the elbow, wrist and fingers using the Ashworth scale; pain using the Visual Analog Scale (VAS); hand gripping strength using dynamometer; tip-to-tip, three points(palmar) and lateral pinching using pinch-meter, and global evaluations of the patient and doctor using the Global Disability Scale; functional evaluations using Self Care Section of Functional Independence Measure (FIM) and Duruöz Hand Index (DHI). Results: TIncreases in all of the ROM values and decreases in the spasticity and pain evaluations were found (p<0.001). No significant changes were seen in the dynamometric measurements of the muscle strength. Statistically significant increases were found in the the Global Disability Scale and functional evaluations made using FIM and DHI in the post-treatment period, and it was shown that effects continued in the week 12 although with some reducing. Conclusion: It is thought that Btx-A injection is an effective method that can be used in the treatment of upper extremity spasticity of stroke patients.
- Subjects
GONIOMETRY (Anatomy); THERAPEUTICS; ARM; BOTULINUM toxin; FUNCTIONAL assessment; ELBOW; EXERCISE tests; RANGE of motion of joints; MUSCLE contraction; HEALTH outcome assessment; SPASTICITY; STROKE; WRIST; EVALUATION research; PAIN measurement; VISUAL analog scale; TREATMENT effectiveness; DATA analysis software
- Publication
Journal of Physical Medicine & Rehabilitation Sciences, 2014, Vol 17, Issue 1, p24
- ISSN
1309-3843
- Publication type
Article