[Influence of treatment with botulinum toxine after stroke to control posture]

Ann Readapt Med Phys. 2006 May;49(4):155-65. doi: 10.1016/j.annrmp.2006.02.006. Epub 2006 Mar 13.
[Article in French]

Abstract

Objective: To investigate modification of postural control after treatment with botulinum toxine in leg muscles of stroke patients.

Methods: We performed a retrospective study of stroke patients who benefitted from injection of botulinum toxine in leg muscles between June 2003 and October 2004. The assessment before and after the injection relied on clinical examination and on posturographic recording on 2 force plates with the patient standing, with eyes open performing or not a double task consisting of an arithmetic test and with eyes closed. We also compared patients to healthy subjects.

Results: Eight patients were included in the study. Botulinum toxine injection in the leg muscles significantly decreased the triceps spasticity, with no change in clinical assessment of balance control (Fugl-Meyer scale). The posturographic data show a decrease in the area of centre of pressure displacement in the double-task situation after the injection.

Conclusion: Thanks to the posturographic recording in the double-task situation, we showed a modification of postural control after treatment with botulinum toxine in leg muscles of stroke patients.

Publication types

  • Evaluation Study

MeSH terms

  • Botulinum Toxins, Type A / administration & dosage*
  • Data Interpretation, Statistical
  • Humans
  • Injections, Intramuscular
  • Leg*
  • Muscle Spasticity / drug therapy
  • Muscle Spasticity / etiology
  • Muscle Spasticity / rehabilitation*
  • Neuromuscular Agents / administration & dosage*
  • Postural Balance / physiology*
  • Posture / physiology*
  • Retrospective Studies
  • Stroke / physiopathology
  • Stroke Rehabilitation*

Substances

  • Neuromuscular Agents
  • Botulinum Toxins, Type A