Botinum Toxin Injection After Stroke
What is a stroke?
A Stroke is a condition that can result in functional impairments such as weakness, not walking, and the inability to use the hand and arm, resulting in partial or even rarely impaired general brain function resulting from the influence of the brain vessels.
The severity of stroke symptoms varies according to the severity of the damage in the affected brain area, thus changing from sick to hospital. Excessive activity in the muscles called spasticity is often seen in depression. In the treatment of spasticity, drug treatments, botulinum toxin injections are applied.
What type of botulinum toxin is used in which conditions?
Botilinum toxin A (BTA) is one of the seven toxins obtained from the named clostridium botulinum. It affects the nerve-muscle junctions by disturbing the nerve conduction. That is, it creates temporary paralysis (weakness) on the muscle fibers.
It was first used by an ophthalmologist, Alan Scott, in patients with strabismus (strabismus) clinically after experiments with monkeys. As the clinician's awareness of the efficacy of botulinum toxin increases, its therapeutic use is increased. It is used after stroke (stroke) and in the reduction of Cerebral palsy.
Spasticity is overactive in the affected muscles that develop in the brain and / or spinal cord. Systolic pain can cause pain, it can also affect the soft tissues around the muscles and cause deformities.
There is not much treatment alternative in fighting spasticity. In general, medications are the first choice, with side effects occurring at the doses indicated to provide as much muscle relaxation as possible, and therefore the effects are limited. Botulinum toxin injections can be applied to muscle groups related to injection. It is aimed to decrease secretion, increase joint motility and function better.
How Botulinum Toxin Is Applied, When Does Its Effects Start? How much will it take?
Before injection, the patient should be evaluated in detail, musculoskeletal examination should be performed and muscle groups causing dysfunction should be identified. Botulinum toxin is intramuscularly implanted, so the effect is limited only by the site of administration. Months again in the process is completely lost.
What are the treatments applied after Botulinum Toxin Injection?
Physical Therapy Practices
Appropriate programs are prepared for the patient, including applications such as physiotherapy, work and occupational therapy, electrical stimulation. It is also possible to exercise training and training with arm and walking robot. Thus, reduction of spasticity in arm and leg muscles, increase in elongation and flexibility and better functioning can be achieved. The patient can provide his own muscle control. The walking of the patient is more balanced, his arm and his hand are better in general use.
An intensive physical therapy program should be administered after botulinum toxin injections to achieve good results.
Orthosis (use of assistive device)
By using orthoses specially designed for the patient, it is ensured that the targeted muscles are stretched effectively, the deformity is removed and the limbs function better.
What are the benefits of Botulinum toxin injection?
It is used to reduce the spasticity seen in neurological disorders such as stroke and cerebral palsy. When the spasticity of the patient decreases, the pain decreases, sleep quality and joint range of motion are increased. Activities such as sitting, standing, walking can be improved. Improvement in hand skills and improvement in function are achieved.