Management of spasticity with onabotulinumtoxinA: practical guidance based on the italian real-life post-stroke spasticity survey
نویسندگان
چکیده
منابع مشابه
Management of spasticity in stroke.
Spasticity treatment must be considered in relation to other impairments with functional goals defined prior to intervention. The effects of muscle co-contraction and involuntary limb movement associated with exaggerated cutaneous reflexes or effort as well as stretch reflex hyperexcitability need to be considered. Exacerbating factors such as pain must be identified. Physical therapy and conve...
متن کاملBiomechanical measurement of post-stroke spasticity.
BACKGROUND spasticity following stroke is common, but clinical measurement is difficult and inaccurate. The most common measure is the modified Ashworth scale (MAS) which grades resistance to passive movement (RPM), but its validity is unclear. AIM to assess the validity of the MAS. METHODS spasticity was clinically graded using MAS and RPM measured biomechanically in the impaired arm of 11...
متن کاملRehabilitation plus OnabotulinumtoxinA Improves Motor Function over OnabotulinumtoxinA Alone in Post-Stroke Upper Limb Spasticity: A Single-Blind, Randomized Trial
BACKGROUND OnabotulinumtoxinA (BoNT-A) can temporarily decrease spasticity following stroke, but whether there is an associated improvement in upper limb function is less clear. This study measured the benefit of adding weekly rehabilitation to a background of BoNT-A treatments for chronic upper limb spasticity following stroke. METHODS This was a multi-center clinical trial. Thirty-one patie...
متن کاملFunctional goal achievement in post-stroke spasticity patients: the BOTOX® Economic Spasticity Trial (BEST).
OBJECTIVE Evaluate changes in active and passive function with onabotulinumtoxinA + standard of care within goal-oriented rehabilitation programmes in adults with focal post-stroke spasticity. METHODS Prospective, 24-week double-blind study with an open-label extension. Subjects were randomized to onabotulinumtoxinA + standard of care or placebo + standard of care, at baseline and at 12 weeks...
متن کاملSpasticity and stroke: pathophysiology and management rules
Spasticity and stroke: pathophysiology and management rules 2 ARC Publishing in the rheological properties and in the contractile soft tissue and musculoskeletal system (intrinsic hypertonia) are often associated with chronic spasticity and, in turn have been associated with increased spasticity. Signs and symptoms of spasticity: Spasticity signs include muscle stiffness or spasm, muscle spasms...
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ژورنال
عنوان ژورنال: Functional Neurology
سال: 2018
ISSN: 1971-3274
DOI: 10.11138/fneur/2018.33.1.037