Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report (ENG)

The patient underwent combined treatment with BoNT-A and NM of the upper limb in 6 monthly applications. Evaluation was performed pretreatment, 3 months after the first injection, 3 months after the second injection, and at a follow-up session 9 months after starting the treatment. The following outcomes were measured: pain by using a numeric rating scale, spasticity by the Modified Ashworth Scale for Grading Spasticity, acceptance and emotional reaction to the treatment by the Hospital Anxiety and Depression Scale, and functionality by ranges of motion. The patient improved in all outcomes after treatment, and results were maintained during the follow-up sessions.
Автор:  Jorge H. Villafañe PT, MSc, PhD, Guillermo B. Silva MSc, PhD, Alessandro Chiarotto PT , Orazio L.F. Ragusa MD
Год публикации:  2012
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