The effect of Botulinum toxin type A(BTXA) on Brunnstrom stages of upper limb in stroke patients
- VernacularTitle:A型肉毒毒素对偏瘫患者上肢Brunnstrom运动恢复阶段的影响
- Author:
Jihua XU
;
Yue TAN
;
Lijuan AO
- Publication Type:Journal Article
- Keywords:
BTXA;
Stroke;
Upper limb;
Spasticity
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2003;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of Botulinum toxin type A(BTXA)and rehabilitation intervention on upper limb Brunnstrom stages and ADL performance of stroke patients. Methods In a randomized controlled trial, 30 patients were allocated to either an experimental group (n=15) that received BTXA injection into muscles of the affected arm or to a controlled group (n=15). All patients' Brunnstrom stage and MAS stage were ≥gradeⅡ. All the patients were treated with rehabilitative techniques. The intervention was applied for 3 months. All were evaluated for the severity of spasticity (Modified Ashworth Scale,MAS),the level of impairment (Brunnstrom assessment and Fugl-Meyer upper limb test) and disability(Functional Independence Measure,FIM) before and after 1 week, 1,2,3 months of treatment. Results Patients who received BTXA had significant reduction of muscle tone (P