Document Detail


Casting, taping or stretching after botulinum toxin type A for spastic equinus foot: a single-blind randomised trial on adult stroke patients.
MedLine Citation:
PMID:  21729974     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the effect of different adjunctive treatments after botulinum toxin type A. DESIGN: Single-blind, randomized trial, with three-month follow-up. SETTING: Secondary rehabilitative care. SUBJECTS: Convenience sample of 69 chronic hemiplegic adult patients with spastic equinus foot. INTERVENTIONS: Following botulinum toxin type A injection at the plantar flexors, patients were randomly assigned to three groups and treated with either taping, casting or stretching for one week, and with stretching and gait training for the next week. OUTCOME MEASURES: Modified Ashworth Scale at plantar flexors, passive range of motion at the ankle, six-minute walking test, 10-metre walking test, Functional Ambulation Categories, ankle dorsiflexor strength were evaluated before treatment (t (0)) at 20 days (t (1)) and 90 days (t (2)) after treatment. RESULTS: At t (1) only the taping and casting groups showed significant improvements in Modified Ashworth Scale, six-minute walking test, 10-metre walking test and passive range of motion (P < 0.02). At t (2), while the results were maintained in the casting group, only six-minute walking test and Modified Ashworth Scale were still significantly improved in the taping group. Ankle dorsiflexor strength and Functional Ambulation Categories did not change in any of the groups at any time. At t (2) the casting group performed better than the taping and stretching groups at Modified Ashworth Scale and passive range of motion, and better than the stretching group at six-minute walking test (P < 0.02). CONCLUSIONS: Combining botulinum toxin type A to the ankle plantar flexors with casting or taping gives better and longer lasting results than with stretching alone.
Authors:
Stefano Carda; Marco Invernizzi; Alessio Baricich; Carlo Cisari
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-5
Journal Detail:
Title:  Clinical rehabilitation     Volume:  -     ISSN:  1477-0873     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Physical and Rehabilitative Medicine, Azienda Ospedaliera Universitaria 'Maggiore della Carità', Novara, Italy.
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