botox injections in leg muscle after stroke side effects

Both my PT and my OT mentioned botox injections, i've heard of the procedure as an alternative but have no experience with it. I've gotten to the point where I don't notice if the Baclofen i'm taking is working the same anymore, maybe it's weakened over time as my body got used to it. This preliminary study suggests that intramuscular botulinum toxin is a safe and effective treatment for reducing disability in patients with severe upper limb spasticity.I've been taking Baclofen for a year now to reign in my spasticity, along with rehab, splinting and stretching i've been able to lessen how severe it was when I first had my stroke.

Benefit was noted within two weeks and lasted one to 11 months. Passive range of movement at shoulder, elbow, and wrist improved after treatment.

Hand hygiene improved in 14 of 17 patients difficulty with sleeves improved in four of 16 standing and walking balance improved in one of four shoulder pain improved in six of nine wrist pain improved in five of six. Up to a total dose of 400-1000 mouse units (MU) of Dysport (Speywood) or 100-200 MU of BOTOX (Allergan) was used in each patient.įunctional problems reported by the patients before treatment were difficulty with cleaning the palm, cutting fingernails, putting the arm through a sleeve, standing and walking balance, putting on gloves, and rolling over in bed. The biceps, forearm finger flexors, and flexor carpiulnaris were treated with intramuscular botulinum toxin. Outcome measures used were passive range of movement at the shoulder, elbow, wrist, and fingers modified Ashworth scale to assess spasticity of biceps and forearm finger flexors an eight point scale to assess the degree of difficulty experienced by the patient or carer for each functional problem defined before treatment the presence of upper limb pain. The duration of improvement in disability was documented. Baseline and assessments two weeks after treatment were compared to assess efficacy. Seventeen patients with severe spasticity and a non-functioning arm were treated with intramuscular botulinum A neurotoxin (median age at treatment 54.5 years median time between onset of stroke and treatment 1.5 years). This is a preliminary evaluation of the impact of botulinum toxin treatment on disability caused by upper limb spasticity after stroke. Spasticity can contribute to poor recovery of upper limb function after stroke.

Botox injections in leg muscle after stroke side effects