New injection points of onabotulinum toxin a for spastic paralysis of the fingers: Eight cases of report

Objective: Onabotulinum toxin A (botulinum A toxin) is utilized to extend flexed extremities in spastic hemiparesis. Injection points are important to obtain a better effect. Injecting botulinum A toxin into the forearm muscles is a standard method for flexed wrist and fingers; however, we developed...

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Main Authors: Shoko Merrit Yamada, Shinnosuke Takashima, Yoshiro Takaoka, Hiroshi Matsuura
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2020;volume=23;issue=3;spage=344;epage=347;aulast=
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author Shoko Merrit Yamada
Shinnosuke Takashima
Yoshiro Takaoka
Hiroshi Matsuura
author_facet Shoko Merrit Yamada
Shinnosuke Takashima
Yoshiro Takaoka
Hiroshi Matsuura
author_sort Shoko Merrit Yamada
collection DOAJ
description Objective: Onabotulinum toxin A (botulinum A toxin) is utilized to extend flexed extremities in spastic hemiparesis. Injection points are important to obtain a better effect. Injecting botulinum A toxin into the forearm muscles is a standard method for flexed wrist and fingers; however, we developed new injection points in the intrinsic muscles of the hand to acquire more reliable effect. Methods: The authors injected botulinum A toxin into the palmar side of the proximal and middle phalanx of each finger and thenar muscles. Eight patients with poststroke flexed wrist and fingers were treated by this method. Results: In all patients, the spasticity improved to 0 or 1 from 3 or 4 in Modified Modified Ashworth Scale 1 month after the treatment. They were satisfied with our treatment because they could keep their affected fingers hygienic by washing fingers cleanly after the treatment. Conclusions: Our botulinum A toxin injection points for finger spastic paralysis are accurate spots producing great effect to flexed fingers.
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spelling doaj.art-a230b8e7385a4bac99239972db0644042022-12-22T01:53:36ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492020-01-0123334434710.4103/aian.AIAN_360_18New injection points of onabotulinum toxin a for spastic paralysis of the fingers: Eight cases of reportShoko Merrit YamadaShinnosuke TakashimaYoshiro TakaokaHiroshi MatsuuraObjective: Onabotulinum toxin A (botulinum A toxin) is utilized to extend flexed extremities in spastic hemiparesis. Injection points are important to obtain a better effect. Injecting botulinum A toxin into the forearm muscles is a standard method for flexed wrist and fingers; however, we developed new injection points in the intrinsic muscles of the hand to acquire more reliable effect. Methods: The authors injected botulinum A toxin into the palmar side of the proximal and middle phalanx of each finger and thenar muscles. Eight patients with poststroke flexed wrist and fingers were treated by this method. Results: In all patients, the spasticity improved to 0 or 1 from 3 or 4 in Modified Modified Ashworth Scale 1 month after the treatment. They were satisfied with our treatment because they could keep their affected fingers hygienic by washing fingers cleanly after the treatment. Conclusions: Our botulinum A toxin injection points for finger spastic paralysis are accurate spots producing great effect to flexed fingers.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2020;volume=23;issue=3;spage=344;epage=347;aulast=botoxflexed fingersinjectiononabotulinum toxin a
spellingShingle Shoko Merrit Yamada
Shinnosuke Takashima
Yoshiro Takaoka
Hiroshi Matsuura
New injection points of onabotulinum toxin a for spastic paralysis of the fingers: Eight cases of report
Annals of Indian Academy of Neurology
botox
flexed fingers
injection
onabotulinum toxin a
title New injection points of onabotulinum toxin a for spastic paralysis of the fingers: Eight cases of report
title_full New injection points of onabotulinum toxin a for spastic paralysis of the fingers: Eight cases of report
title_fullStr New injection points of onabotulinum toxin a for spastic paralysis of the fingers: Eight cases of report
title_full_unstemmed New injection points of onabotulinum toxin a for spastic paralysis of the fingers: Eight cases of report
title_short New injection points of onabotulinum toxin a for spastic paralysis of the fingers: Eight cases of report
title_sort new injection points of onabotulinum toxin a for spastic paralysis of the fingers eight cases of report
topic botox
flexed fingers
injection
onabotulinum toxin a
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2020;volume=23;issue=3;spage=344;epage=347;aulast=
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