Botulinum Toxin-A (Botox injection therapy)
Post stroke spasticity occurs as a result of injury or damage to the central nervous system i.e. the brain or spinal cord (CNS). Damage to the CNS can be caused by stroke, brain injury, Multiple Sclerosis; to name but a few. Such damage can result in physical symptoms including weakness or paralysis, loss of fine motor control of movements, and muscle spasms or tightness. It is spasms and tightness of muscles that are usually referred to as post-stroke spasticity. It is important to manage post-stroke spasticity properly and effectively in order to improve function, improve quality of life, and prevent contractures.
If spasticity is affecting a relatively small group of muscles, it can be treated by injecting tight, spastic or over-active muscles, with small injections of Botulinum Toxin-A (Botox™) to weaken or paralyse specific over-active muscles. In all cases, physiotherapy is essential to manage post-stroke spasticity especially following Botulinum Toxin-A injection therapy. Spasticity associated with acquired brain injury, spinal cord injury or M.S. can also be reduced with Botulinum toxin-A injections.
Some treatment goals may include:
Improved function mobility, seating and positioning.
Increased ease of care, dressing hygiene and bathing.
Avoiding Contracture Formation in conjunction with Stretches, Serial Casting and Splinting.
Increased Comfort, pain reduction, sleep improvement and improvement of Orthosis compliance or fitting.
Cosmetic Factors, improved body image.
Improved response to Physiotherapy.
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