Casting, taping or stretching after botulinum toxin type A for spastic equinus foot: a single-blind randomized trial on adult stroke patients.

Details

Serval ID
serval:BIB_3BBE1BA156E7
Type
Article: article from journal or magazin.
Collection
Publications
Title
Casting, taping or stretching after botulinum toxin type A for spastic equinus foot: a single-blind randomized trial on adult stroke patients.
Journal
Clinical Rehabilitation
Author(s)
Carda S., Invernizzi M., Baricich A., Cisari C.
ISSN
1477-0873 (Electronic)
ISSN-L
0269-2155
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
25
Number
12
Pages
1119-1127
Language
english
Notes
Publication types: Journal Article ; Randomized Controlled Trial Publication Status: ppublish
Abstract
OBJECTIVE: To investigate the effect of different adjunctive treatments after botulinum toxin type A.
DESIGN: Single-blind, randomized trial, with three-month follow-up.
SETTING: Secondary rehabilitative care.
SUBJECTS: Convenience sample of 69 chronic hemiplegic adult patients with spastic equinus foot.
INTERVENTIONS: Following botulinum toxin type A injection at the plantar flexors, patients were randomly assigned to three groups and treated with either taping, casting or stretching for one week, and with stretching and gait training for the next week.
OUTCOME MEASURES: Modified Ashworth Scale at plantar flexors, passive range of motion at the ankle, six-minute walking test, 10-metre walking test, Functional Ambulation Categories, ankle dorsiflexor strength were evaluated before treatment (t(0)) at 20 days (t(1)) and 90 days (t(2)) after treatment.
RESULTS: At t(1) only the taping and casting groups showed significant improvements in Modified Ashworth Scale, six-minute walking test, 10-metre walking test and passive range of motion (P < 0.02). At t(2), while the results were maintained in the casting group, only six-minute walking test and Modified Ashworth Scale were still significantly improved in the taping group. Ankle dorsiflexor strength and Functional Ambulation Categories did not change in any of the groups at any time. At t(2) the casting group performed better than the taping and stretching groups at Modified Ashworth Scale and passive range of motion, and better than the stretching group at six-minute walking test (P < 0.02).
CONCLUSIONS: Combining botulinum toxin type A to the ankle plantar flexors with casting or taping gives better and longer lasting results than with stretching alone.
Keywords
Athletic Tape, Botulinum Toxins, Type A/therapeutic use, Casts, Surgical, Combined Modality Therapy, Equinus Deformity/complications, Equinus Deformity/therapy, Female, Humans, Male, Middle Aged, Muscle Spasticity/complications, Muscle Spasticity/therapy, Muscle Stretching Exercises, Neuromuscular Agents/therapeutic use, Single-Blind Method
Pubmed
Create date
25/03/2013 17:15
Last modification date
15/07/2020 5:26
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