Yıl 2018, Cilt 5, Sayı 9, Sayfalar 326 - 330 2018-09-30

An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance

Emre Ata [1] , Murat Kosem [2]

10 24

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 .

stroke, muscle spasticity, botulinum toxin, injections, electrical muscle stimulation
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Dergi Bölümü Araştırma Makalesi
Yazarlar

Orcid: 0000-0002-8923-4158
Yazar: Emre Ata (Sorumlu Yazar)
Kurum: University of Health Sciences, Sultan Abdulhamid Han Research Hospital, Department of Physical Medicine and Rehabilitation, Istanbul
Ülke: Turkey


Yazar: Murat Kosem
Kurum: University of Health Sciences, Sultan Abdulhamid Han Research Hospital, Department of Physical Medicine and Rehabilitation, Istanbul
Ülke: Turkey


Bibtex @araştırma makalesi { msd460182, journal = {Medical Science and Discovery}, issn = {2148-6832}, eissn = {2148-6832}, address = {Zafer AKAN}, year = {2018}, volume = {5}, pages = {326 - 330}, doi = {10.17546/msd.460182}, title = {An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance}, key = {cite}, author = {Kosem, Murat and Ata, Emre} }
APA Ata, E , Kosem, M . (2018). An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance. Medical Science and Discovery, 5 (9), 326-330. DOI: 10.17546/msd.460182
MLA Ata, E , Kosem, M . "An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance". Medical Science and Discovery 5 (2018): 326-330 <http://dergipark.gov.tr/msd/issue/38098/460182>
Chicago Ata, E , Kosem, M . "An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance". Medical Science and Discovery 5 (2018): 326-330
RIS TY - JOUR T1 - An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance AU - Emre Ata , Murat Kosem Y1 - 2018 PY - 2018 N1 - doi: 10.17546/msd.460182 DO - 10.17546/msd.460182 T2 - Medical Science and Discovery JF - Journal JO - JOR SP - 326 EP - 330 VL - 5 IS - 9 SN - 2148-6832-2148-6832 M3 - doi: 10.17546/msd.460182 UR - http://dx.doi.org/10.17546/msd.460182 Y2 - 2018 ER -
EndNote %0 Medical Science and Discovery An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance %A Emre Ata , Murat Kosem %T An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance %D 2018 %J Medical Science and Discovery %P 2148-6832-2148-6832 %V 5 %N 9 %R doi: 10.17546/msd.460182 %U 10.17546/msd.460182
ISNAD Ata, Emre , Kosem, Murat . "An effective approach for botulinum toxin injection in patients with stroke for focal spasticity: dual guidance". Medical Science and Discovery 5 / 9 (Eylül 2018): 326-330. http://dx.doi.org/10.17546/msd.460182