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Intensive rehabilitation after botulinum toxin-A injections in stroke.

Not Applicable
Completed
Conditions
Stroke
Physical Medicine / Rehabilitation - Occupational therapy
Physical Medicine / Rehabilitation - Physiotherapy
Stroke - Haemorrhagic
Registration Number
ACTRN12615000616572
Lead Sponsor
a Trobe University
Brief Summary

The study, published in Stroke, found no difference between the experimental and control group for goal attainment, measured using the Goal Attainment Scale. In terms of arm activity, by 3 months the experimental group moved blocks at the same speed as the control group on the Box and Block Test. There were no differences between the two groups on any secondary outcomes except strength, in favor of the experimental group. Conclusions— Findings suggest that additional intensive upper limb rehabilitation following botulinum toxin-A in chronic stroke survivors with a disabled upper limb was not effective.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
140
Inclusion Criteria

Scheduled to receive a botulinum toxin-A injection to a muscle(s) that crosses the wrist
- Agreed to receive BoNT-A injections as part of their usual care
- Date of stroke three or more months prior.
- Not currently receiving upper limb rehabilitation
- Absence of significant cognitive impairment (as assessed by a score of less than five adjusted errors on the Short Portable Mental Status Questionnaire).

Exclusion Criteria

- Unable to attend clinic at least 1/wk.
- Other significant upper limb impairment eg. Fracture or frozen shoulder within 6 months, severe arthritis, amputation.
- Presence of any and all contraindications to botulinum toxin-A injections.
- Botulinum toxin-A injections and/or serial casts in the past 6 months.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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