Deans' stroke musings: Poststroke postural sway improved by botulinum toxin: A multicenter randomized double-blind controlled trial

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.

Friday, April 17, 2020

Poststroke postural sway improved by botulinum toxin: A multicenter randomized double-blind controlled trial

I got nothing out of this. What does improving sway do for functional recovery? The only goal in stroke is 100% recovery, not some intermediate stage improvement. Tell us how this got us closer to 100% recovery or go home.

Poststroke postural sway improved by botulinum toxin: A multicenter randomized double-blind controlled trial

Archives of Physical Medicine and Rehabilitation , Volume 101(2) , Pgs. 242-248.

NARIC Accession Number: J83116. What's this?
ISSN: 0003-9993.
Author(s): Kerzoncuf, Marjorie; Viton, Jean-Michel; Pellas, Frederic; Cotinat, Maeva; Calmels, Paul; Milhe de Bovis, Virginie; Delarque, Alain; Benssoussan, Laurent.
Publication Year: 2020.
Number of Pages: 7.
Abstract: Study assessed the effects of injecting botulinum toxin into the lower-limb muscles of people with hemiparesis post stroke in terms of their sway areas. Forty people with hemiparesis with chronic post-stroke lower-limb spasticity were randomized to treatment and control groups. Intramuscular injection of a placebo (physiological serum) was performed on the control group, and botulinum toxin injections were performed on the treatment group. Participants and physical and rehabilitation medicine specialists were given no information as to which of the 2 treatments was applied. The sway area of the center of pressure was recorded for 30 seconds in 3 conditions: eyes open, eyes open in a dual task (a postural control task combined with an arithmetic task), and eyes closed. Spasticity was measured using the Modified Ashworth Scale. Clinical examinations and postural sway assessments were performed before botulinum toxin injection and again 4-6 weeks after the injection. Spasticity decreased significantly in the treatment group. The sway area did not differ significantly between the 2 groups before treatment. The most conspicuous effect was observed in the case of the dual task, where a significant decrease in the sway area occurred in the treatment group in comparison with the placebo group. Treating spasticity by injecting botulinum toxin into people's lower-limb muscles post stroke seems to improve their postural sway. The dual task used in this study to assess sway seems to be a useful, sensitive test for this purpose.
Descriptor Terms: DRUGS, EQUILIBRIUM, INTERVENTION, LIMBS, MEDICAL TREATMENT, MOBILITY IMPAIRMENTS, PHARMACOLOGY, POSTURE, SPASTICITY, STROKE, TASK ANALYSIS.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Kerzoncuf, Marjorie, Viton, Jean-Michel, Pellas, Frederic, Cotinat, Maeva, Calmels, Paul, Milhe de Bovis, Virginie, Delarque, Alain, Benssoussan, Laurent. (2020). Poststroke postural sway improved by botulinum toxin: A multicenter randomized double-blind controlled trial. Archives of Physical Medicine and Rehabilitation , 101(2), Pgs. 242-248. Retrieved 4/17/2020, from REHABDATA database.