《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2019, Vol. 25 ›› Issue (11): 1352-1355.doi: 10.3969/j.issn.1006-9771.2019.11.017

Previous Articles     Next Articles

Comparation of Effects of Botulinum Toxin Type A Injection under Different Guidance Approaches on Wrist and Finger Spasticity in Stroke Patients

LU Hai-tao1,2, CUI Li-hua3, WANG Yi-zheng1   

  1. 1.Neurorehabilitation Center, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
    2.Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
    3.Physical Medicine & Rehabilitation Development, Beijing Fengtai You’anmen Hospital, Beijing 100054, China
  • Received:2019-07-10 Revised:2019-08-01 Published:2019-11-25 Online:2019-11-21
  • Contact: LU Hai-tao, E-mail: 13051760807@163.com E-mail:13051760807@163.com

Abstract: Objective To compare the effects of Botulinum toxin type A (BTX-A) injection guided with electromyographic/electric stimulation or ultrasonography in patients with post-stroke spasticity of wrist and finger flexor muscles. Methods Inpatients with post-stroke spasticity of wrist and finger flexor muscles accepted BTX-A injection from January, 2015 to May, 2019 were reviewed. They were divided into electromyographic/electric stimulation-guided group (n = 36) and ultrasound-guided group (n = 37). They were assessed with modified Ashworth Scale (MAS) and Fugl-Meyer Assessment (FMA) before injection and four weeks after treatment. Results The scores of both MAS and FMA improved in both groups after treatment (|Z| > 4.654, P < 0.001), and the scores of MAS improved more in the ultrasound-guided group (|Z| > 1.980, P < 0.05), with less dosage of BTX-A (t = 4.023, P < 0.001). Conclusion Ultrasound-guided injection of BTX-A is more effective on wrist and finger flexion muscles spasticity than electromyographic/electric stimulation-guided method in stroke patients.

Key words: stroke, spasticity, ultrasonography, electromyography, electric stimulation, Botulinum toxin

CLC Number: