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Botulinum Toxin Type A for Upper and Lower Limb Spasticity Poststroke Tetsuo Ota 1 1Department of Physical Medicine & Rehabilitation, Asahikawa Medical University Hospital Keyword: 脳卒中(stroke) , 痙縮(spasticity) , A型ボツリヌス毒素(Botulinum toxin type A) pp.511-514
Published Date 2013/7/18
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Abstract : More than two years have passed since Botulinum toxin type A (BoNT-A) was approved for upper and lower limb spasticity after stroke. BoNT-A works well for spasticity, so it is one of the most effective treatments for spastic paresis in stroke patients. We usually treat elbow flexors, wrist flexors and finger flexors in the upper limb, and hip adductors, knee flexors and ankle plantar flexors in the lower limb in order to improve motor function, maintain sanitary conditions and reduce the burden of care. We often use motor point block with 5% phenol for the treatment of spasticity. Though BoNT-A treatment has some weak points including its cost, the risk of antibody production and dosage limitation, this treatment is easier than phenol block in the technique of injection. Additionally, injection with electrical stimulation or ultrasonography will be helpful to insert the needle into the targeted muscle more accurately.


Copyright © 2013, The Japanese Association of Rehabilitation Medicine. All rights reserved.

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電子版ISSN 印刷版ISSN 1881-3526 日本リハビリテーション医学会

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