Botox for upper extremity spasticity

Method: One individual with chronic stroke who received BoNTA injections for upper and lower extremity spasticity was included.

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Physical therapy intervention consisted of to min sessions twice weekly for 12 weeks, based on the Bobath—neurodevelopmental therapy approach, and an activity-based home program.

Results: After BoNTA injections and physical therapy, the patient made clinically significant improvements in balance and gait speed and became more independent with his ambulation. Conclusions: This case report demonstrates that physical therapy after BoNTA injections can result in significant functional improvements for individuals with spasticity after chronic stroke that may not be possible with BoNTA injections alone.

Les experts de la réadaptation recommandent de traiter la spasticité focale par des injections intramusculaires de BoNTA combinées à la physiothérapie. La durée et le type optimaux de l'intervention de physiothérapie visant à optimiser tout gain fonctionnel qui suit la chimiodénervation provoquée par la BoNTA n'ont toutefois pas été établis. Le traitement de physiothérapie a consisté en deux séances hebdomadaires de 45 à 60 minutes pendant 12 semaines, basé sur la stratégie Bobath-NDT et en un programme d'activité à domicile.

Conclusions : Ce rapport de cas démontre que la physiothérapie suivant des injections de BoNTA peut entraîner une importante amélioration fonctionnelle chez les personnes qui ont une spasticité consécutive à des accidents vasculaires cérébraux chroniques, amélioration qui pourrait ne pas être possible à la suite d'injections de BoNTA seulement.

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M6M 2J5; email: Shannon. Gallagher westpark. Key Words: botulinum toxinsmuscle spasticitystroke Mots clés : accident vasculaire cérébralphysiothérapiespasticitétoxine botulique de type-A. Share this:.

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By Keyword accident vasculaire cérébral physiothérapie spasticité toxine botulique de type-A. Phadke Farooq Ismail Chris Boulias. Access to the PDF text.

Botox for upper extremity spasticity

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Article History

Annals of Physical and Rehabilitation Medicine Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le vendredi 21 juin Botuloscope: 1-year follow-up of upper-limb post-stroke spasticity treated with botulinum toxin.

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