Journal of Hebei Medical University ›› 2021, Vol. 42 ›› Issue (10): 1194-1197.doi: 10.3969/j.issn.1007-3205.2021.10.016

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Ultrasound guidance combined with botulinum toxin type A in the treatment of post-stroke upper limb spasticity

  

  1. 1.Department of Ultrasound,People′s Hospital of Shijiazhuang City, Hebei Province, Shijiazhuang 
    050030, China; 2.Department of Rehabilitation Medicine, People′s Hospital of Shijiazhuang City, 
    Hebei Province, Shijiazhuang 050030, China; 3.Department of Information Centre, 
    Hebei Maternal and Child Health Center, Shijiazhuang 050031, China
  • Online:2021-10-25 Published:2021-10-28

Abstract: Objective To investigate the curative effect of ultrasound guidance combined with botulinum toxin type A(BTX-A) injection on post-stroke upper limb spasticity. 
Methods Sixty stroke patients were randomly divided into two groups, with 30 cases in each group. The control group received conventional rehabilitation therapy, while the observation group received ultrasound guidance combined with BTX-A injection. Therapeutic effects of the two groups were compared. 
Results At 4 weeks after treatment, the modified Ashworth scale(MAS) scores, clinic spasticity index(CSI) scores, Fugl-Meyer assessment scale(FMA) scores, initiative joint range of motion(AROM), modulus of rigidity(G), muscular thickness(MT) and fiber length(FL) of the observation group were better than those of the control group(P<0.05). 
Conclusion Ultrasound guidance combined with BTX-A injection can significantly relieve upper limb spasticity, which, therefore, is worthy of clinical popularization.


Key words: stroke, spasm, ultrasonography