Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report

Autores
Villafañe, Jorge Hugo; Silva, Guillermo Benjamin; Chiarotto, Alessandro; Ragusa, Orazio L. F.
Año de publicación
2012
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective: The purpose of this study is to report a case in which combinatory therapy of botulinum toxin type A (BoNT-A) and neurodynamic mobilization (NM) was used as treatment for a patient with severe upper limb spasticity and pain after stroke. Clinical Features: A 76-year-old male patient had spastic muscles in the upper limb 10 months after an ischemic stroke. Intervention and Outcome: The patient underwent combined treatment with BoNT-A and NM of the upper limb in 6 monthly applications. Evaluation was performed pretreatment, 3 months after the first injection, 3 months after the second injection, and at a follow-up session 9 months after starting the treatment. The following outcomes were measured: pain by using a numeric rating scale, spasticity by the Modified Ashworth Scale for Grading Spasticity, acceptance and emotional reaction to the treatment by the Hospital Anxiety and Depression Scale, and functionality by ranges of motion. The patient improved in all outcomes after treatment, and results were maintained during the follow-up sessions. Conclusion: The combined NM and BoNT-A treatment appeared to decrease pain and improve joint ranges of motion during treatment for this patient. The patient showed decreased anxiety and depression during and after the treatment.
Fil: Villafañe, Jorge Hugo. Universidad Rey Juan Carlos; España
Fil: Silva, Guillermo Benjamin. Universidad Católica de Córdoba. Facultad de Ciencias Químicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina
Fil: Chiarotto, Alessandro. Universidad Rey Juan Carlos; España
Fil: Ragusa, Orazio L. F.. No especifíca;
Materia
BOTULINUM TOXIN TYPE A
MUSCLE SPASTICITY
PHYSIOTHERAPY
STROKE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/197262
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/197262
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case reportVillafañe, Jorge HugoSilva, Guillermo BenjaminChiarotto, AlessandroRagusa, Orazio L. F.BOTULINUM TOXIN TYPE AMUSCLE SPASTICITYPHYSIOTHERAPYSTROKEhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Objective: The purpose of this study is to report a case in which combinatory therapy of botulinum toxin type A (BoNT-A) and neurodynamic mobilization (NM) was used as treatment for a patient with severe upper limb spasticity and pain after stroke. Clinical Features: A 76-year-old male patient had spastic muscles in the upper limb 10 months after an ischemic stroke. Intervention and Outcome: The patient underwent combined treatment with BoNT-A and NM of the upper limb in 6 monthly applications. Evaluation was performed pretreatment, 3 months after the first injection, 3 months after the second injection, and at a follow-up session 9 months after starting the treatment. The following outcomes were measured: pain by using a numeric rating scale, spasticity by the Modified Ashworth Scale for Grading Spasticity, acceptance and emotional reaction to the treatment by the Hospital Anxiety and Depression Scale, and functionality by ranges of motion. The patient improved in all outcomes after treatment, and results were maintained during the follow-up sessions. Conclusion: The combined NM and BoNT-A treatment appeared to decrease pain and improve joint ranges of motion during treatment for this patient. The patient showed decreased anxiety and depression during and after the treatment.Fil: Villafañe, Jorge Hugo. Universidad Rey Juan Carlos; EspañaFil: Silva, Guillermo Benjamin. Universidad Católica de Córdoba. Facultad de Ciencias Químicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Chiarotto, Alessandro. Universidad Rey Juan Carlos; EspañaFil: Ragusa, Orazio L. F.. No especifíca;Elsevier2012-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/197262Villafañe, Jorge Hugo; Silva, Guillermo Benjamin; Chiarotto, Alessandro; Ragusa, Orazio L. F.; Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report; Elsevier; Journal of Chiropractic Medicine; 11; 3; 7-2012; 186-1911556-3707CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/abs/pii/S155637071200079Xinfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.jcm.2012.05.009info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:34:32Zoai:ri.conicet.gov.ar:11336/197262instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:34:33.071CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report
title Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report
spellingShingle Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report
Villafañe, Jorge Hugo
BOTULINUM TOXIN TYPE A
MUSCLE SPASTICITY
PHYSIOTHERAPY
STROKE
title_short Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report
title_full Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report
title_fullStr Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report
title_full_unstemmed Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report
title_sort Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report
dc.creator.none.fl_str_mv Villafañe, Jorge Hugo
Silva, Guillermo Benjamin
Chiarotto, Alessandro
Ragusa, Orazio L. F.
author Villafañe, Jorge Hugo
author_facet Villafañe, Jorge Hugo
Silva, Guillermo Benjamin
Chiarotto, Alessandro
Ragusa, Orazio L. F.
author_role author
author2 Silva, Guillermo Benjamin
Chiarotto, Alessandro
Ragusa, Orazio L. F.
author2_role author
author
author
dc.subject.none.fl_str_mv BOTULINUM TOXIN TYPE A
MUSCLE SPASTICITY
PHYSIOTHERAPY
STROKE
topic BOTULINUM TOXIN TYPE A
MUSCLE SPASTICITY
PHYSIOTHERAPY
STROKE
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objective: The purpose of this study is to report a case in which combinatory therapy of botulinum toxin type A (BoNT-A) and neurodynamic mobilization (NM) was used as treatment for a patient with severe upper limb spasticity and pain after stroke. Clinical Features: A 76-year-old male patient had spastic muscles in the upper limb 10 months after an ischemic stroke. Intervention and Outcome: The patient underwent combined treatment with BoNT-A and NM of the upper limb in 6 monthly applications. Evaluation was performed pretreatment, 3 months after the first injection, 3 months after the second injection, and at a follow-up session 9 months after starting the treatment. The following outcomes were measured: pain by using a numeric rating scale, spasticity by the Modified Ashworth Scale for Grading Spasticity, acceptance and emotional reaction to the treatment by the Hospital Anxiety and Depression Scale, and functionality by ranges of motion. The patient improved in all outcomes after treatment, and results were maintained during the follow-up sessions. Conclusion: The combined NM and BoNT-A treatment appeared to decrease pain and improve joint ranges of motion during treatment for this patient. The patient showed decreased anxiety and depression during and after the treatment.
Fil: Villafañe, Jorge Hugo. Universidad Rey Juan Carlos; España
Fil: Silva, Guillermo Benjamin. Universidad Católica de Córdoba. Facultad de Ciencias Químicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina
Fil: Chiarotto, Alessandro. Universidad Rey Juan Carlos; España
Fil: Ragusa, Orazio L. F.. No especifíca;
description Objective: The purpose of this study is to report a case in which combinatory therapy of botulinum toxin type A (BoNT-A) and neurodynamic mobilization (NM) was used as treatment for a patient with severe upper limb spasticity and pain after stroke. Clinical Features: A 76-year-old male patient had spastic muscles in the upper limb 10 months after an ischemic stroke. Intervention and Outcome: The patient underwent combined treatment with BoNT-A and NM of the upper limb in 6 monthly applications. Evaluation was performed pretreatment, 3 months after the first injection, 3 months after the second injection, and at a follow-up session 9 months after starting the treatment. The following outcomes were measured: pain by using a numeric rating scale, spasticity by the Modified Ashworth Scale for Grading Spasticity, acceptance and emotional reaction to the treatment by the Hospital Anxiety and Depression Scale, and functionality by ranges of motion. The patient improved in all outcomes after treatment, and results were maintained during the follow-up sessions. Conclusion: The combined NM and BoNT-A treatment appeared to decrease pain and improve joint ranges of motion during treatment for this patient. The patient showed decreased anxiety and depression during and after the treatment.
publishDate 2012
dc.date.none.fl_str_mv 2012-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/197262
Villafañe, Jorge Hugo; Silva, Guillermo Benjamin; Chiarotto, Alessandro; Ragusa, Orazio L. F.; Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report; Elsevier; Journal of Chiropractic Medicine; 11; 3; 7-2012; 186-191
1556-3707
CONICET Digital
CONICET
url http://hdl.handle.net/11336/197262
identifier_str_mv Villafañe, Jorge Hugo; Silva, Guillermo Benjamin; Chiarotto, Alessandro; Ragusa, Orazio L. F.; Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report; Elsevier; Journal of Chiropractic Medicine; 11; 3; 7-2012; 186-191
1556-3707
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/abs/pii/S155637071200079X
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.jcm.2012.05.009
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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