Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, June 30, 2016

Study Shows Sustained IncobotulinumtoxinA Efficacy in Upper-Limb Post-Stroke Spasticity Over 48 Weeks

No clue of what the difference is between this and regular botox injections. Ask your doctor.
It wouldn't have done me any good to ask my doctor about any botox injections because he did nothing, my OT set up the injections.
http://dgnews.docguide.com/study-shows-sustained-incobotulinumtoxina-efficacy-upper-limb-post-stroke-spasticity-over-48-weeks?
For patients with upper-limb post-stroke spasticity, repeated incobotulinumtoxinA injections demonstrated sustained efficacy in reducing muscle tone and spasticity-associated disability, researchers reported here on June 21 at the 20th International Congress of Parkinson’s Disease and Movement Disorders (MDS).
Petr Kaňovský, MD, Faculty of Medicine and Dentistry, Palaký University Olomouc, and University Hospital, Olomouc, Czech Republic, and colleagues have previously shown the 12-week efficacy and safety of incobotulinumtoxinA 400 U versus placebo in patients suffering from upper limb spasticity.
The current study was a 36-week open-label extension period of the main trial.
In the main study, patients were randomised to placebo (n = 107) or incobotulinumtoxinA 400 U (n = 210). Of these, 296 (placebo, 99; incobotulinumtoxinA, 97) continued into this extension study, for three further injections of incobotulinumtoxinA 400 U at 12- to 20-week intervals.
This extension period was completed by 248 patients (82.9%), with outcome measures determined at 4 weeks after each injection.
Outcomes included Ashworth Scale response (≥1-point improvement from each injection to 4 weeks post-injection) and Disability Assessment Scale (DAS) response (≥1-point improvement in a patient-selected principal target domain [hygiene, dressing, limb position or pain] from study baseline to 4 weeks post-injection), adverse events (AEs), and antibody testing.
AS responder rates after each incobotulinumtoxinA treatment were 52.3% to 61.8% for wrist flexors, 49.1% to 60.0% for elbow flexors, 54.5% to 64.5% for finger flexors, 33.9% to 41.2% for thumb flexors, and 37.4% to 44.2% for forearm pronators.
Post-injection DAS responder rates for the principal target domain were 46.2% in the main study, and 52.2%, 62.1, and 59.4% in the extension study injection cycles.
During the main trial, treatment-related AEs were reported in 3.8% and 1.9% of patients receiving incobotulinumtoxinA and placebo, respectively. During the entire 36-week extension study, treatment-related AE incidence was 3.0%. No serious treatment-related AEs and no clinical non-responsiveness due to antibodies occurred in the main trial or in the extension trial.
“These results are impressive because we have a stable response to each injection in this extension period, so incobotulinumtoxinA is effective over the longer period of time, with no serious adverse events at all.”
Funding for this study was provided by Merz Pharmaceuticals GmbH, Germany.
[Presentation title: A Phase 3, Placebo-Controlled Study With an Open-Label Extension: Sustained IncobotulinumtoxinA Efficacy in Upper-Limb Post-Stroke Spasticity Over 48 Weeks. Abstract 956]

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