Dissertation
Dissertation > Medicine, health > Neurology and psychiatry > Neurology > Cerebrovascular disease

Effect of Botulinum Toxin Injection Guided by Different Strategies on Spasticity in Patients after Brain Injury

Author BaiJing
Tutor YangWeiXin
School Suzhou University
Course Rehabilitation Medicine and Physical Therapy
Keywords Muscle spasm B ultrasound-guided Electrical stimulation Botulinum toxin
CLC R743
Type Master's thesis
Year 2011
Downloads 27
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Objective: To observe the different positioning of Type A botulinum toxin injection treatment of spasm after brain injury , to explore a more reasonable , effective botulinum toxin type A injection positioning used in clinical treatment . : Select brain damage , the triceps muscle spasm patients , 45 cases were randomly divided into three groups A, B, C , A group (n = 15) to give B-guided the calf triceps botulinum toxin type A injection therapy ; B group (n = 15) in the positioning of electrical stimulation to the botulinum toxin injection therapy ; C group (n = 15) in the B-guided combined electrical stimulation positioning botulinum toxin injection therapy , three days after the injection therapy and treatment 4 weeks after assessment calf triceps the clinical spasms index (clinical spasticity index, CSI) and calf triceps surface EMG integral value ( Intergrated EMG, The concentric IEMG ) . Results : botulinum toxin type A injection CSI score and IEMG value in the 4 weeks 3 days CSI score of the three groups of patients with treatment after treatment than before treatment were significantly decreased; 3 days of the injection therapy group A and group B of CSI scores were not significant differences ( p gt; 0.05 ) ; C group was significantly lower than the A and B groups, there was a significant difference ( 7.60 ± 1.50 vs 8.93 ± 1.16,9.27 ± 1.62 ) , adjusted for age, duration of disease, body mass index , before treatment CSI, IEMG score differences still exist , four weeks after the injection of group A and group B CSI score and IEMG value was no significant difference ( p gt ; 0.05) , C group compared with A , B group CSI score ( 4.73 ± 1.03vs 5.67 ± 0.97,6.13 ± 1.06) and IEMG values ??(5.04 ± 1.90vs 7.06 ± 1.68,7.03 ± 1.58) there was a significant difference , adjusted for age, duration of disease, body mass index , before treatment, the CSI The concentric IEMG score differences still exist. Conclusion: Three guide the way of botulinum A toxin injection treatment after brain injury can significantly alleviate muscle spasms ; simple B-guided purely electrical stimulation image-guided injection of botulinum toxin type A treatment of muscle spasm was no significant difference B ultrasound-guided positioning injections combined with electrical stimulation compared with B ultrasound-guided injection of pure electric stimulus positioning ways to more effectively relieve muscle spasm .

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