Author/Editor		Gregorič, M; Matjačič, Z; Gros, A; Tomšič, I; Klemen, A; Peterlin-Potisk, K
Title		Treatment of spasticity with botulinum toxin and its effects on the volitional and electrically induced wrist movement
Type		članek
Source		In: Karčnik T, Veltink P, Jaeger R, editors. IFESS 2002. Proceedings of the 7th annaual conference of the International functional electrical stimulation society; 2002 Jun 25-29; Ljubljana. Ljubljana: Faculty of electrical engineering,
Publication year		2002
Volume		str. 341-3
Language		eng
Abstract		The objective of this preliminary study was to explore therapeutic and functional effects of a combined botulinum toxin (BT) and functional electrical stimulation (FES) treatment of spastic wrist flexors in spastic hemiparetic subjects. Volitional and electrically induced wrist extension was studied in five subjects, which were treated with BT, in three consecutive measurements (prior to, 6 to 7 weeks after and 7 to 8 months after application of BT). During the time span of measurements one subject received daily physical therapy and electrical stimulation, while others did not. The results show significant improvement of volitional and electrically induced wrist mobility in all subjects at the second measurement. At the third measurement (when the BT action was diminished) responses comparable to ones obtained at the second measurement were obtained only in subject, treated with physiotherapy and FES, while in other subjects wrist mobility decreased and approached the baseline values. These preliminary results indicate that a combination of BT and FES therapy might bring about long-term improvement of wrist mobility in spastic hemiparesis.
Descriptors		BOTULINUM TOXINS ELECTRIC STIMULATION THERAPY MUSCLE SPASTICITY WRIST JOINT RANGE OF MOTION, ARTICULAR