Article

Poststroke spasticity often negatively affects functional
activities and daily living and frequently is accompanied by pain, abnormal limb
postures, and contractures.
The purpose of this case report is to describe the
long-term benefit of botulinum toxin A in a patient with poststroke spasticity.
DESCRIPTION : A 35-year-old woman with poststroke upper-limb spasticity who
had lost function in her left hand was treated with onabotulinumtoxinA and
physical therapy. Over 25 months, the patient received a physical therapy and
occupational therapy program and received onabotulinumtoxinA injections into
muscles of the left hand and arm, significantly reducing tone and facilitating
recovery of function. Practical assessments, the Ashworth Scale, and
electrophysiology were used to measure changes over time. No functional scales or
dexterity scales were used to measure changes. OUTCOMES: OnabotulinumtoxinA
injections were discontinued when treatment goals were attained, and no further
improvements were achieved. After more than 2(1/2) years without further
onabotulinumtoxinA treatments, the patient maintained range of motion and some
functional use and dexterity in her left hand. DISCUSSION:
This case report
illustrates the efficacy and long-term benefit of onabotulinumtoxinA, combined
with physical therapy and occupational therapy, in the successful treatment of
poststroke spasticity.

Langue : ANGLAIS