Does botulinum toxin improve the function of the patient with spasticity after stroke?

Detalhes bibliográficos
Autor(a) principal: Cardoso, Eduardo
Data de Publicação: 2007
Outros Autores: Pedreira, Glícia, Prazeres, Antônio, Ribeiro, Nildo, Melo, Ailton de Souza
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5870
Resumo: p.592-595
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spelling Cardoso, EduardoPedreira, GlíciaPrazeres, AntônioRibeiro, NildoMelo, Ailton de SouzaCardoso, EduardoPedreira, GlíciaPrazeres, AntônioRibeiro, NildoMelo, Ailton de Souza2012-05-15T19:33:16Z2012-05-15T19:33:16Z2007-090004-282Xhttp://www.repositorio.ufba.br/ri/handle/ri/5870v. 65, n. 3-Ap.592-595Post-stroke spasticity is an important cause of disability in adults, due to muscle hyperactivi¬ty, which results in limb stiffness and muscle spasm. The prognosis for these patients depends on several features such as early management and adequate physical therapy to avoid muscle shortening, pain, and their consequences. Although several papers have shown that intramuscular injections of botulinum toxin type A (BT-A) decreases spasticity in post-stroke patients, few authors have demonstrated functional im¬provement after this therapy. In order to assess if individualized BT-A injections improves upper limb func¬tion in post-stroke spastic patients, we prospectively followed 20 consecutive patients of 18 years of age or more with spastic hemiparesis secondary to stroke. Fulg-Meyer scale modified for upper limbs, mea¬sure of functional independence (MFI), Ashworth modified scale, and goniometry were applied in the be¬ginning of the investigation and in the 16th and 32nd weeks. BT-A was applied at baseline and in the 16th week. All subjects were submitted to rehabilitation therapy. All patients showed improvement according to Ashworth modified scale and increase in the range of motion, which were sustained until the 32nd week (p<0.05). The assessment of the first three parameters of the Fulg-Meyer scale and the evaluations of the motor part of the Functional Independence Measure showed statistically improvement until the end of the study. We conclude that proper choice of muscles and individualized doses of BT-A can improve func¬tion in selected post-stroke patients.Submitted by Texeira Ana (atanateixeira@gmail.com) on 2012-05-15T19:33:16Z No. of bitstreams: 1 Cardoso, Eduardo.pdf: 166962 bytes, checksum: 5e4314a49001a33dd3607caceeecdb2e (MD5)Made available in DSpace on 2012-05-15T19:33:16Z (GMT). No. of bitstreams: 1 Cardoso, Eduardo.pdf: 166962 bytes, checksum: 5e4314a49001a33dd3607caceeecdb2e (MD5) Previous issue date: 2007-09São PauloAssociação Arquivos de Neuro-Psiquiatria Dr. Oswaldo Langehttp://dx.doi.org/10.1590/S0004-282X2007000400008reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBABotulinum toxinSpasticityStrokeRehabilitationDoes botulinum toxin improve the function of the patient with spasticity after stroke?Arq Neuropsiquiatrinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleenginfo:eu-repo/semantics/openAccessORIGINALCardoso, Eduardo.pdfCardoso, Eduardo.pdfapplication/pdf166962https://repositorio.ufba.br/bitstream/ri/5870/1/Cardoso%2c%20Eduardo.pdf5e4314a49001a33dd3607caceeecdb2eMD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/5870/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXTCardoso, Eduardo.pdf.txtCardoso, Eduardo.pdf.txtExtracted texttext/plain17285https://repositorio.ufba.br/bitstream/ri/5870/3/Cardoso%2c%20Eduardo.pdf.txt57eaa3bbb866e507208c5802c7b027d5MD53ri/58702022-07-05 14:03:12.212oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:12Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Does botulinum toxin improve the function of the patient with spasticity after stroke?
dc.title.alternative.pt_BR.fl_str_mv Arq Neuropsiquiatr
title Does botulinum toxin improve the function of the patient with spasticity after stroke?
spellingShingle Does botulinum toxin improve the function of the patient with spasticity after stroke?
Cardoso, Eduardo
Botulinum toxin
Spasticity
Stroke
Rehabilitation
title_short Does botulinum toxin improve the function of the patient with spasticity after stroke?
title_full Does botulinum toxin improve the function of the patient with spasticity after stroke?
title_fullStr Does botulinum toxin improve the function of the patient with spasticity after stroke?
title_full_unstemmed Does botulinum toxin improve the function of the patient with spasticity after stroke?
title_sort Does botulinum toxin improve the function of the patient with spasticity after stroke?
author Cardoso, Eduardo
author_facet Cardoso, Eduardo
Pedreira, Glícia
Prazeres, Antônio
Ribeiro, Nildo
Melo, Ailton de Souza
author_role author
author2 Pedreira, Glícia
Prazeres, Antônio
Ribeiro, Nildo
Melo, Ailton de Souza
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Cardoso, Eduardo
Pedreira, Glícia
Prazeres, Antônio
Ribeiro, Nildo
Melo, Ailton de Souza
Cardoso, Eduardo
Pedreira, Glícia
Prazeres, Antônio
Ribeiro, Nildo
Melo, Ailton de Souza
dc.subject.por.fl_str_mv Botulinum toxin
Spasticity
Stroke
Rehabilitation
topic Botulinum toxin
Spasticity
Stroke
Rehabilitation
description p.592-595
publishDate 2007
dc.date.issued.fl_str_mv 2007-09
dc.date.accessioned.fl_str_mv 2012-05-15T19:33:16Z
dc.date.available.fl_str_mv 2012-05-15T19:33:16Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5870
dc.identifier.issn.none.fl_str_mv 0004-282X
dc.identifier.number.pt_BR.fl_str_mv v. 65, n. 3-A
identifier_str_mv 0004-282X
v. 65, n. 3-A
url http://www.repositorio.ufba.br/ri/handle/ri/5870
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Associação Arquivos de Neuro-Psiquiatria Dr. Oswaldo Lange
publisher.none.fl_str_mv Associação Arquivos de Neuro-Psiquiatria Dr. Oswaldo Lange
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1590/S0004-282X2007000400008
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
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reponame_str Repositório Institucional da UFBA
collection Repositório Institucional da UFBA
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