The effect of botulinum toxin on gait analysis of paraplegic patients with lower limb spasticity
Often, people who have suffered spinal cord injury or stroke present spasticity in the lower extremities, due to uncontrolled muscle spasms, walking is completely prevented. Thus, to treat spasticity and regain walking, existing treatments include medications with substances that act on the central nervous system, such as baclofen, and substances whose infusion causes muscle denervation, such as botulinum toxin. The purpose of this study is to analyze the effect of botulinum toxin on lower extremity spasticity in paraplegic patients, and its contribution, when injected into selected muscle areas, to reduce focal hyperactivity. Research is also made, to determine the role of botulinum toxin in rehabilitation programs, when combined with other means, to improve quality of life in patients with spinal cord injury. For this review, research was made in Pubmed and Medline databases. The use of botulinum toxin issafe and effective, to reduce spasticity after spinal cord injury and other upper motor neuron damage. As for the improvements offered by botulinum toxin on walking,in patients with spinal cord injury, the results are indirect and related to the level of injury damage.In database, there are some articles with small sample of patients or case reports, so further research is needed to establish botulinum toxin’s ability to regain gait,on population that has suffered from spinal cord injury.
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