Pubblicazioni

Autori:

Picelli, Alessandro; Roncari, Laura; Baldessarelli, Silvia; Berto, Giulia; Lobba, Davide; Santamato, A.; Fiore, P.; Smania, Nicola

Titolo:

Accuracy of botulinum toxin type A injection into the forearm muscles of chronic stroke patients with spastic flexed wrist and clenched fist: manual needle placement evaluated using ultrasonography.

Anno:

2014

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Formato:

A Stampa

Referee:

Sì

Nome rivista:

JOURNAL OF REHABILITATION MEDICINE

ISSN Rivista:

1650-1977

N° Volume:

46

Numero o Fascicolo:

10

Intervallo pagine:

1042-1045

Parole chiave:

muscle hypertonia; hand; rehabilitation; upper extremity

Breve descrizione dei contenuti:

OBJECTIVE: To investigate the accuracy of manual needle placement for injection of botulinum toxin type A into the forearm muscles of adults with spastic flexed wrist and clenched fist as a consequence of stroke. DESIGN: Prospective clinical study. Patients: A total of 41 adults with chronic stroke who were scheduled to receive botulinum toxin type A injection into the following forearm muscles: flexor carpi radialis, flexor carpi ulnaris, flexor digitorum superficialis and flexor digitorum profundus. METHODS: According to Huber & Heck’s atlas suggestions on treatment of spasticity with botulinum toxin, surface identification of muscles to inject was performed by means of palpation and anatomical landmarks. Accuracy of needle placement and muscle thickness at the site of needle insertion were assessed using ultrasonography. RESULTS: Overall accuracy of manual needle placement evaluated using ultrasonography was 51.2%. Accuracy was significantly higher for the finger flexors than for the wrist flexors (63.4% vs 39.0%). The finger flexors were significantly thicker than the wrist flexors (mean 1.58 vs 0.49 cm). CONCLUSION: Instrumental guidance should be used in order to achieve an acceptable accuracy of needle placement when performing botulinum toxin type A injections into the forearm muscles of chronic stroke patients with spastic flexed wrist and clenched fist.

Id prodotto:

83482

Handle IRIS:

11562/774564

depositato il:

14 novembre 2014

ultima modifica:

15 novembre 2022

Citazione bibliografica:

Picelli, Alessandro; Roncari, Laura; Baldessarelli, Silvia; Berto, Giulia; Lobba, Davide; Santamato, A.; Fiore, P.; Smania, Nicola, Accuracy of botulinum toxin type A injection into the forearm muscles of chronic stroke patients with spastic flexed wrist and clenched fist: manual needle placement evaluated using ultrasonography. «JOURNAL OF REHABILITATION MEDICINE» , vol. 46 , n. 10 , 2014 , pp. 1042-1045

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