Application efficiency and effectiveness of Botulinum neurotoxin type A in complex treatment of patients with post – stroke spasticity in arm

Abstract

Studying of efficiency of application botulinum neurotoxin type Ain complex treatment 51 patients with poststroke spastic hemiparesiswith mean time from stroke onset 33.8 months. It was observedsevere spastisity (mean of scale of Ashworth 3.3+1.0) at allpatients in the neurologic status. Patients were divided in threegroups. The first group (n = 14) received botulinum neurotoxin typeA in a complex with standard restoring therapy (BtxA+SRT). In thesecond group (n = 18) the patients received BtxA+SRT in a complexwith specialized functional training using device ARMEO.The third group (n = 19) received only BtxA. Comparisons of scoreson the MAS, AS, FIM and goniometry at baseline, week 5 and the8-month follow-up are reviled the most considerable improvementof hand function in second group which received BtxA+SRT in acomplex with specialized functional training using deviceARMEO. We believe that BtxA must use with complex therapyincluding the functional training of hand with device ARMEO.

Keywords

• botulinum neurotoxin type a
• standard restoring therapy
• functional training using device «armeo»