BOTULINUM-A-TOXIN TREATMENT OF UPPER LIMB SPASTICITY

被引:2
|
作者
FRIEDRICH, H [1 ]
HESSE, S [1 ]
DOMASCH, C [1 ]
MAURITZ, KH [1 ]
机构
[1] KLINIKUM BERLIN,INNERE MED & REHABIL ABT,BERLIN,GERMANY
关键词
D O I
10.1055/s-2007-1018064
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The effectiveness of botulinum toxin (BoTX-A) in 9 hemiparetic patients with therapy-resistant upper limb flexor spasticity was investigated. Graded doses of toxin (5-40 ng cumulative) were injected into 2 to 5 the most affected muscles. Documentation included assessment of Barthel-Index, Ashworth spasticity scale, Rivermead scale and patients and physiotherapists comments prior to and 3 month after injection. In three patients (8 ng toxin, 5 muscles each) spasticity could definitely be reduced with improved self-care abilities; selective movements were not achieved. Indications and limitations of BoTX-A therapy of severe spasticity are discussed.
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页码:175 / 178
页数:4
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