Modified Constraint-Induced Therapy and Botulinum Toxin A
- 1 January 2003
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in American Journal of Physical Medicine & Rehabilitation
- Vol. 82 (1), 76-80
- https://doi.org/10.1097/00002060-200301000-00014
Abstract
Page SJ, Elovic E, Levine P, Sisto SA: Modified constraint-induced therapy and botulinum toxin A: A promising combination. Am J Phys Med Rehabil 2003;82:76–80. Modified constraint-induced therapy and chemodenervation with botulinum toxin A are each efficacious in managing stroke-induced motor disorders; however, the application of these two promising modalities in combination is yet to be examined. This case study describes a 44-yr-old man who experienced a right middle cerebral artery infarct 14 mo before participating in modified constraint-induced therapy. After modified constraint-induced therapy completion, the patient exhibited substantial improvement in affected upper limb use and function but retained difficulty with finger extension secondary to hypertonicity and spasticity in the forearm flexor muscles. Selective chemodenervation of these muscles with botulinum toxin A greatly improved the patient’s self-reported hand function and his scores using objective measures. The authors of this paper present this case to raise the idea of increasing treatment efficacy by combining these two modalities.Keywords
This publication has 20 references indexed in Scilit:
- Intramuscular Injection of Botulinum Toxin for the Treatment of Wrist and Finger Spasticity after a StrokeNew England Journal of Medicine, 2002
- Effects of Constraint-Induced Movement Therapy on Patients With Chronic Motor Deficits After StrokeStroke, 1999
- Plasticity in the motor system related to therapy-induced improvement of movement after strokeNeuroReport, 1999
- Botulinum toxin type A in the treatment of upper extremity spasticityNeurology, 1996
- Outcome and time course of recovery in stroke. Part II: Time course of recovery. The copenhagen stroke studyArchives Of Physical Medicine and Rehabilitation, 1995
- Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic handJournal of the Neurological Sciences, 1995
- The Results of Clinical Trials in Stroke Rehabilitation ResearchArchives of Neurology, 1993
- A review of stroke rehabilitation and physiotherapy.Stroke, 1990
- A performance test for assessment of upper limb function in physical rehabilitation treatment and researchInternational Journal of Rehabilitation Research, 1981
- MOVEMENT IN NONHUNMAN PRIMATES DEPRIVED OF SOMATOSENSORY FEEDBACKExercise and Sport Sciences Reviews, 1976