PT  - JOURNAL ARTICLE
AU  - Otom, Ali H.
AU  - Al-Khawaja, Imad M.
AU  - Al-Quliti, Khalid W.
TI  - Botulinum toxin type-A in the management of spastic equinovarus deformity after stroke
DP  - 2014 Jul 01
TA  - Neurosciences Journal
PG  - 199--202
VI  - 19
IP  - 3
4099  - http://nsj.org.sa/content/19/3/199.short
4100  - http://nsj.org.sa/content/19/3/199.full
SO  - Neurosciences (Riyadh)2014 Jul 01; 19
AB  - Objective: To retrospectively compare 2 injection techniques in the management of spastic equinovarus deformity after stroke.Methods: Patients with stroke were seen at King Hussein Medical Center, Amman, Jordan between January and December 2009. The study design involved an open label retrospective analysis of medical records of 2 groups of comparable age and onset of first stroke. Botulinum toxin was injected into the calf muscles at 2 sites in group I (12 patients) and 4 sites in group II (14 patients). Functional gain was evaluated by the time to walk 10 meters at month one, 3, and 6 compared with baseline.Results: There was significant improvement in walking time in each study group. However, there was no significant difference between the 2 groups as measured by the 10-meter walking time.Conclusion: Fewer injection sites would minimize patient discomfort and possibly the production of antibodies, yielding similar therapeutic effects.