Evaluating the functional outcomes of ultrasound-guided botulinum toxin type A injections using the Euro-musculus approach for upper limb spasticity treatment in post-stroke patients: an observational study

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dc.authoridBüyükavcı, Raikan Soydemir/0000-0002-2234-7158
dc.authoridAkturk, SEMRA/0000-0001-9960-6851
dc.authoridErsoy, Yuksel/0000-0002-8035-4532
dc.authorwosidBüyükavcı, Raikan Soydemir/Q-5336-2018
dc.authorwosidAkturk, SEMRA/KTH-9105-2024
dc.authorwosidAKTÜRK, SEMRA/ABI-2757-2020
dc.authorwosidErsoy, Yuksel/S-7503-2016
dc.contributor.authorBuyukavci, Raikan
dc.contributor.authorAkturk, Semra
dc.contributor.authorErsoy, Yuksel
dc.date.accessioned2024-08-04T20:45:22Z
dc.date.available2024-08-04T20:45:22Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND: Ultrasound-guided botulinum toxin type A injection is an effective treatment for spasticity. Euro-musculus spasticity approach is a new method for administering injections to the correct point of the correct muscle. The clinical outcomes of this practical approach are not vet available in the literature. AIM: The purpose of this study was to evaluate the effects on spasticity and the functional outcomes of ultrasound guided botulinum toxin type A injections via the Euro-musculus spasticity approach to treat upper limb spasticity in post-stroke patients. DESIGN: Observational study. SETTING: Inpatient post-stroke patients. POPULATION: Twenty-five post-stroke patients with post-stroke upper limb spasticity were recruited. METHODS: The ultrasound-guided botulinum toxin type A injections were administered into the spastic target muscles using the Euro-musculus spasticity approach, and all of the patients were enrolled in rehabilitation programs after the injections. This research included the innervation zone and injection site figures and ultrasound images of each muscle in the upper limb. The degree of spasticity was assessed via the Modified Ashworth Scale and the upper limb motor function via the Fugl Meyer Upper Extremity Scale at the baseline and 4 and 12 weeks after the botulinum toxin type A injection. RESULTS: Significant decreases in the Modified Ashworth Scale scores of the upper limb flexor muscle tone measured 4 and 12 weeks after the botulinum toxin type A injection were found when compared to the baseline scores (P<0.025). When compared with the baseline Fugl Meyer Upper Extremity subgroup scores, the sitting position, wrist and total scores at 4 and 12 weeks were significantly improved (P<0.025). However, only the Fugl Meyer Upper Extremity hand scores were significantly improved 12 weeks after the injection (P<0.025). CONCLUSIONS: Ultrasound-guided botulinum toxin type A injection via the Euro-musculus spasticity approach is a practical and effective method for administering injections to the correct point of the correct muscle. Ultrasound-guided botulinum toxin type A injections combined with rehabilitation programs decrease spasticity and improve the upper extremity motor functions in stroke patients. CLINICAL REHABILITATION IMPACT: This new approach for ultrasound-guided botulinum toxin type A injection is very practical and effective method for upper extremity spasticity.en_US
dc.identifier.doi10.23736/S1973-9087.18.05086-4
dc.identifier.endpage744en_US
dc.identifier.issn1973-9087
dc.identifier.issn1973-9095
dc.identifier.issue5en_US
dc.identifier.pmid29422486en_US
dc.identifier.scopus2-s2.0-85051772482en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage738en_US
dc.identifier.urihttps://doi.org/10.23736/S1973-9087.18.05086-4
dc.identifier.urihttps://hdl.handle.net/11616/98434
dc.identifier.volume54en_US
dc.identifier.wosWOS:000445300800013en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherEdizioni Minerva Medicaen_US
dc.relation.ispartofEuropean Journal of Physical and Rehabilitation Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMuscle spasticityen_US
dc.subjectUpper extremityen_US
dc.subjectUltrasonographyen_US
dc.subjectBotulinum toxin type Aen_US
dc.subjectStrokeen_US
dc.titleEvaluating the functional outcomes of ultrasound-guided botulinum toxin type A injections using the Euro-musculus approach for upper limb spasticity treatment in post-stroke patients: an observational studyen_US
dc.typeArticleen_US

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