Treatment of spasticity in spinal cord injury with botulinum toxin
| Autor: | Ramiro Palazón-García, Ana María Benavente-Valdepeñas, Monica Alcobendas-Maestro, Ana Esclarin-de Ruz |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 030506 rehabilitation Adolescent Context (language use) 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Pharmacologic therapy Spasticity Botulinum Toxins Type A Spinal cord injury Spinal Cord Injuries Research Articles Aged Retrospective Studies business.industry Middle Aged medicine.disease Botulinum toxin Treatment Outcome Neuromuscular Agents Muscle Spasticity Anesthesia Female Neurology (clinical) medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | J Spinal Cord Med |
| ISSN: | 2045-7723 |
| Popis: | Context: Spasticity is one of the most frequent complications in spinal cord injury (SCI), and is routinely managed with oral pharmacologic therapy. Botulinum toxin (BT) is not accepted as a treatment for spasticity in SCI in Spain but may be used in certain cases of focal distribution. Objective: To report the results with BT for treatment of spasticity in SCI. Design and Setting: Descriptive retrospective study conducted at a specialist SCI rehabilitation center in Spain, covering patients first treated from 2012 through 2014, and successfully followed up for a minimum of 1 year. Data were collected on the following variables: demographic and SCI characteristics (level and grade); nature of spasticity, e.g. tone, distribution, spasms, articular involvement and pain; function; application of BT; tolerance and adverse reactions. Results: The study covered 90 patients, predominantly male with incomplete injuries. Improvement in tone as measured by the modified Ashworth scale was a mean of 1.17 points. Goniometric improvement was achieved in 65.6% and improvement in pain in 38.9% of cases. There were no adverse side-effects. Patients with focal spasticity showed a significantly greater improvement in tone (P |
| Databáze: | OpenAIRE |
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