Effect of Botulinum Toxin –A on Upper and Lower Limb Spasticity Assessed by FIM and Motricity Index
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 4
Abstract
Objectives: To find the effect of botulinum toxin A on upper and lower limb spasticity and compare functional scale with a global scale of spasticity. Methods: This is an open level prospective study, involving patients with upper and lower limb spasticity. Assessment were done at 3 weeks, 12 weeks, and at 24 weeks post injections. The Modified Ashworth and Modified Tardieu scale of spasticity, Percentage of passive range motion, Motricity Index was used. A total of 34 patients were enrolled 25 male, 9 female. There were 51 upper limb and 49 lower limb muscle groups. Three patients were lost during follows up. Results: There was significant improvement in all the parametric variables after injections. Aggregate outcome scores comparing groups post base line showed significant difference in Modified Tardieu (MTS), Motricity Index (MI), Interventional goal assessment (IGA) scales muscle groups other than FIM. Lower limb faring better then upper limb spasticity. Conclusion: Botulinum toxin A is an effective modality of treatment in appropriate clinical cases.
Authors and Affiliations
Dr Kshetra Madhab Das, MBBS, M. D. (PM&R)
Keywords
Related Articles
- EP ID EP513011
- DOI -
- Views 64
- Downloads 0
Study of Cutaneous Manifestations of Polycystic Ovarian Syndrome
Polycystic Ovary Syndrome (PCOS) is common in women of reproductive age group. The usual presentation is with irregular menstrual cycles, acne, hirsutism, alopecia and acanthosis nigricans. The aim was to study the vario...
Assessment of Lipid Profile of Patients with Acute Myocardial Infarction: A Comparative Study
Background: Cardiovascular disease is regarded as a multifactorial disease, which affected by the environment and genetic factors. A growing evidences indicates that elevated concentrations of TG, TC, LDL-C and decreased...
Effects of neonatal Thyroid Stimulating hormone and free T4 levels on Apgar score, Maturity and Modes of delivery
Thyroid disorders are four to five folds more common in women particularly during child bearing period. Cord blood is a source for the determination of thyroid related hormones in neonates. To find the effect of TSH and...
A Study of the Adverse Drug Effect Profile of Phenytoin in A Tertiary Hospital in North East India
Introduction: Epilepsy is a chronic neurological disorder characterized by recurrent seizures of cerebral origin which have been known to inflict mankind since ancient times. The seizure nearly always correlates with an...
Atherogenic Indices as Markers for Risk of Myocardial Infarction in Obese
The rising prevalence of obesity in India has a direct correlation with the increasing prevalence of obesity-related co-morbidities; hypertension, the metabolic syndrome, dyslipidemia, type 2 diabetes mellitus (T2DM), an...