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dc.contributor.author
Villafañe, Jorge Hugo
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dc.contributor.author
Silva, Guillermo Benjamin
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dc.contributor.author
Chiarotto, Alessandro
dc.contributor.author
Ragusa, Orazio L. F.
dc.date.available
2023-05-12T11:16:15Z
dc.date.issued
2012-07
dc.identifier.citation
Villafañe, Jorge Hugo; Silva, Guillermo Benjamin; Chiarotto, Alessandro; Ragusa, Orazio L. F.; Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report; Elsevier; Journal of Chiropractic Medicine; 11; 3; 7-2012; 186-191
dc.identifier.issn
1556-3707
dc.identifier.uri
http://hdl.handle.net/11336/197262
dc.description.abstract
Objective: The purpose of this study is to report a case in which combinatory therapy of botulinum toxin type A (BoNT-A) and neurodynamic mobilization (NM) was used as treatment for a patient with severe upper limb spasticity and pain after stroke. Clinical Features: A 76-year-old male patient had spastic muscles in the upper limb 10 months after an ischemic stroke. Intervention and Outcome: The patient underwent combined treatment with BoNT-A and NM of the upper limb in 6 monthly applications. Evaluation was performed pretreatment, 3 months after the first injection, 3 months after the second injection, and at a follow-up session 9 months after starting the treatment. The following outcomes were measured: pain by using a numeric rating scale, spasticity by the Modified Ashworth Scale for Grading Spasticity, acceptance and emotional reaction to the treatment by the Hospital Anxiety and Depression Scale, and functionality by ranges of motion. The patient improved in all outcomes after treatment, and results were maintained during the follow-up sessions. Conclusion: The combined NM and BoNT-A treatment appeared to decrease pain and improve joint ranges of motion during treatment for this patient. The patient showed decreased anxiety and depression during and after the treatment.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Elsevier
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
BOTULINUM TOXIN TYPE A
dc.subject
MUSCLE SPASTICITY
dc.subject
PHYSIOTHERAPY
dc.subject
STROKE
dc.subject.classification
Geriatría y Gerontología
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dc.subject.classification
Medicina Clínica
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2023-05-12T10:14:28Z
dc.journal.volume
11
dc.journal.number
3
dc.journal.pagination
186-191
dc.journal.pais
Estados Unidos
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dc.description.fil
Fil: Villafañe, Jorge Hugo. Universidad Rey Juan Carlos; España
dc.description.fil
Fil: Silva, Guillermo Benjamin. Universidad Católica de Córdoba. Facultad de Ciencias Químicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina
dc.description.fil
Fil: Chiarotto, Alessandro. Universidad Rey Juan Carlos; España
dc.description.fil
Fil: Ragusa, Orazio L. F.. No especifíca;
dc.journal.title
Journal of Chiropractic Medicine
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/abs/pii/S155637071200079X
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.jcm.2012.05.009
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