A Study of Effect of Botulinum Toxin a on Hand Functions in Patients with Spastic Disorders
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Intramuscular botulinum toxin A offers the possibility of local treatment of spasticity without affecting sensation. It is an established treatment for squint, blepharospasm, hemifacial spasm, torticollis, and focal dystonias. More recently, it has been used to treat limb spasticity after stroke, traumatic brain injury, cerebral palsy and multiple sclerosis. Aims and objective: To prospectively evaluate the effect of Botulinum toxin type A on hand functions in patients with spastic disorders in terms of Improvement in range of motion, degree of reduction of spasticity, improvement in prehensile functions and improvement in grip and pinch strength. Material and Methods: A total of 33 patients with upper limb spasticity were included in the study and received injection Botulinum Toxin A as per inclusion criteria. The analysis was done with SPSS for Windows version17. Prior to analysis all the entries were double checked for any error. Results: Significant decrease in tone was observed as per Modified Ashworth scale. Significant improvement in range of motion was observed after Botulinum Toxin A injection as measured by a universal goniometer. Conclusion: Injection Botulinum Toxin A is an effective treatment modality for decreasing upper limb spasticity and improving range of motion resulting in better cosmesis and increased ease in many activities of daily living.
Authors and Affiliations
Amit Ranjan, Ravi Gaur, Diganta Borah, Nonica Laisram
Keywords
Related Articles
- EP ID EP425771
- DOI -
- Views 95
- Downloads 0
A Comparative Study of Microscopic and Endoscopic Type I Tympanoplasty
Introduction: The telescopic, wide angle, magnified view of the endoscope overcomes most of the disadvantages of the microscope by exposing every corner of tympanic cavity. Study objectives were to compare the outcomes o...
Oral Soft Tissue Benign Lesions-Carbon Dioxide Laser as a Surgical Tool
Introduction: There is a wide range of oral soft tissue benign lesions, most of them amenable to surgical resection. Various modalities of Surgical resection are available including cold surgical resection, Cryo surgery...
Iatrogenic Cushing’s Syndrome in Admitted Patients to a Rural Based Medical College Hospital
Introduction: Drug induced hypercorticolism is the most common cause of Cushing’s syndrome. Study aimed to find out various presentations of iatrogenic Cushing’s Syndrome, occurrence and to make the clinicians and public...
Comparison of Electrocardiographic Criterias for LVH using Echocardiography as Standard
Introduction: Although newer diagnostic tools are available, the electrocardiogram (ECG) remains the most common mean for evaluating cardiac disease. Electrocardiographic evidence of left ventricular hypertrophy (LVH) is...
Previous LSCS: NO more Contraindication for non Descent Vaginal Hysterectomy
Introduction: Hysterectomy is the most common operation performed in Gynecology department worldwide. It is performed by different route and for different indications. NDVH has many advantages over other routes. But pres...