SBOTE Study: Extracorporeal Shock Wave Therapy Versus Electrical Stimulation After Botulinum Toxin Type A Injection for Post-Stroke Spasticity–A Prospective Randomized Trial

Santamato, Andrea; Notarnicola, Angela; Panza, Francesco; Ranieri, Maurizio; Micello, Maria Francesca; Manganotti, Paolo; Moretti, Biagio; Fortunato, Francesca; Filoni, Serena; Fiore, Pietro

doi:10.1016/j.ultrasmedbio.2012.09.019

Cited by 66 publications

(73 citation statements)

References 53 publications

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“…All results are based on single RCTs. All but two studies (Santamato et al 14 on electrical stimulation and Sun et al 22 on modified constraintinduced movement therapy) were underpowered, so it is difficult to draw firm conclusions regarding the usefulness of therapies reviewed in this article. However, it is important for clinicians to be knowledgeable regarding the current levels of evidence relevant to their practice, even if independent replication of evidence is lacking.…”

Section: Discussionmentioning

confidence: 95%

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Systematic review of adjunct therapies to improve outcomes following botulinum toxin injection for treatment of limb spasticity

et al. 2015

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Section: Discussionmentioning

confidence: 95%

“…Santamato et al14 examined the effects of electrical stimulation compared with extracorporeal shock wave therapy postBoNT injection of spastic finger flexors. Both interventions were started immediately postinjection.…”

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confidence: 99%

Systematic review of adjunct therapies to improve outcomes following botulinum toxin injection for treatment of limb spasticity

et al. 2015

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“…Exploratory activity and nerve regeneration were evaluated using an immunohistochemical experiment. The study results indicated an increase of sensory and functional recovery of muscles and regeneration of damaged nerves in the behavioral and immunohistochemical evaluation after ESWT [7] [8].…”

Section: Discussionmentioning

confidence: 78%

Extracorporeal Shock Wave Therapy Decreased Spasticity in Stroke

Lee¹,

Choi²,

Nam³

2017

IJIPHM

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“…6 Various treatment protocols have been used in the literature for treatment of focal hand dystonia in the past including Botox, deep brain stimulation, kinesio taping, sensory oriented training, splinting and extracorporeal shock wave therapy. [7][8][9][10][11][12][13] In last few years concept of task specific training has gained importance in every aspect of neurological rehabilitation. Task specific training has demonstrated positive results in treatment of focal dystonia.…”

Section: Introductionmentioning

confidence: 99%

Post-Stroke Focal Hand Dystonia

Umar

Masood

Badshah

2018

TPMJ

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ABSTRACT… Objectives:To determine the effects of Botulinum toxin A (BoNTA) with task specific training on hand function and quality of life in patients with post stroke focal dystonia of hand. Study Design: Randomized Controlled Trial. Place and Duration of Study: This study was conducted in Holy family hospital, The Neurocounsel and Chambeli Rehabilitation center from October 2015 to September 2016. Methodology: Both male and female patients suffering from stroke for at least 6 months with focal hand dystonia were included in this randomized controlled trial. 46 patients were recruited in the study through non probability purposive sampling and then were allocated to control (n=23) and experimental group (n=23) by random number list generated for 46 patients using SPSS software. Control group was provided with only task specific training while experimental group was provided with an injection of Botulinum Toxin A in addition to task-specific training. Data was collected from both groups at baseline and then after 8 weeks by using Action Research Arm Test (ARAT), Stroke specific quality of life (SS-QOL) and Arm dystonia disability scale (ADDS). Results: Although both groups showed significant improvements after training(P value <0.001) in both ARAT scale and SS-QOL but as shown by the difference of means of the groups, experimental group has shown more improvement than control group at the end of 8 weeks of intervention with P value<0.05. ADDS has also shown better results in reducing disability in experimental group as compared to control group. Conclusion: Botulinum toxin A prior to start of task specific training significantly improves outcome in post stroke focal hand dystonia patients than task specific training alone. Key Words:Focal Dystonia, Quality of Life, Task Specific Training, Botulinum Toxin A, SS-QOL.

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SBOTE Study: Extracorporeal Shock Wave Therapy Versus Electrical Stimulation After Botulinum Toxin Type A Injection for Post-Stroke Spasticity–A Prospective Randomized Trial

Cited by 66 publications

References 53 publications

Systematic review of adjunct therapies to improve outcomes following botulinum toxin injection for treatment of limb spasticity

Systematic review of adjunct therapies to improve outcomes following botulinum toxin injection for treatment of limb spasticity

Extracorporeal Shock Wave Therapy Decreased Spasticity in Stroke

Post-Stroke Focal Hand Dystonia

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