An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance
Journal Title: Medical Science and Discovery - Year 2018, Vol 5, Issue 9
Abstract
Objective: This study has aimed to compare the efficacy of botulinum toxin (BTX) injections, applied to the upper limb muscles of the stroke patients in our clinic who have being diagnosed with focal spasticity, that are performed via ultrasonography and ultrasonography + electrical muscle (EM) stimulator guidance. Literature didn’t include detailed crosscheck of ultrasound guided BTX and EM treatment applications for upper limb focal spasticity patients Materials and Methods: Electronic data on 62 hemiplegic stroke patients with grade 2 and 3 focal spasticity who had received botulinum toxin injections into their upper limb muscles by the same physician, who used similar protocol and recorded the results, were scanned retrospectively. The spasticity of the patients in both groups was assessed with the Modified Ashworth Scale at the end of two weeks and three months. Results: A statistically significant difference was found between the Modified Ashworth Scale values of both groups in terms of all muscles, compared to the values seen in the pre-treatment period (p<0.05). The Modified Ashworth Scale values at 3 months posttreatment in ultrasonography + electrical muscle stimulator group were not statistically different from those at 2 weeks posttreatment, with respect to wrist flexion and finger flexion. In intergroup comparison, there was no statistically significant difference between the Modified Ashworth Scale values of at pretreatment and 2 weeks posttreatment. However, statistically significant difference in all muscle groups was found in favor of the ultrasonography + electrical muscle stimulator group at 3 months posttreatment controls (p<0.05). Conclusion: Upper limb spasticity due to stroke can be substantially recovered with botulinum toxin injections that are applied via only ultrasonography guidance or via ultrasonography + electrical muscle stimulator guidance.. According to data from the assessment at 3 months posttreatment, the botulinum toxin injection performed via ultrasonography + electrical muscle stimulator guidance had more positive effects .
Authors and Affiliations
Emre Ata, Murat Kosem
Keywords
Related Articles
- EP ID EP520637
- DOI 10.17546/msd.460182
- Views 47
- Downloads 0
Comparison of the effects of two different dose algorithms in cardiac dose parameters for hodgkin lymphoma patients receiving mediastinal radiotheraphy
Objective: This study aimed to compare pencil beam (PB) and convolution superposition (CS) dose calculation algorithms with respect to cardiac dose-volume parameters V5, V25, V30 and MHD (median heart dose) in Hodgkin l...
Evaluation of some tumor markers, acute phase proteins, sialic acid and lipid bound sialic acid before and after chemotherapy in stomach cancer
Objective: It was aimed to compare the some tumor markers, acute phase proteins, sialic acid and lipid bound sialic acid levels in patients with stomach cancer before and after chemotherapy to the healthy controls.Mater...
Extrude-Sequestrum Spontaneous Regression of Lumbar Disc Hernia: Case Report
The correct approach to the lumbar disc hernia is subject to debate. Although a rare case of lumbar disc herniation with spontaneous regression, to be seen and is a well-known phenomenon commonly reported. But the underl...
A Child with Hallermann-Streiff Syndrome; as an Infrequent Cause of Hypotrichosis and Cataract
In present case report, four-months-old boy who referred to our pediatric endocrinology outpatient clinic from department of ophthalmology due to evaluation of endocrine and metabolic disorders for cataract was discussed...
Aqueous garlic extract protects against sepsis induced toxicity in pulmonary and ileal tissues
Objective: Based on the potent antioxidant effects of aqueous garlic extract (AGE), the present study was designed to characterize the potential of AGE to modify blood coagulation parameters as well as and pulmonary and...