دورية أكاديمية

Effects of repeated abobotulinumtoxinA injections in upper limb spasticity.

التفاصيل البيبلوغرافية
العنوان: Effects of repeated abobotulinumtoxinA injections in upper limb spasticity.
المؤلفون: Gracies JM; EA 7377 BIOTN, Université Paris-Est Créteil, Service de Rééducation Neurolocomotrice, Hôpitaux Universitaires Henri Mondor, 51, avenue du Maréchal De Lattre De Tassigny, 94010, Créteil, France., O'Dell M; Department of Rehabilitation Medicine, Weill Cornell Medicine, Baker Pavilion, New York, New York, USA., Vecchio M; Department of U.O. Physical Medicine and Rehabilitation, Policlinico Vittorio Emanuele University Hospital, Catania, Italy., Hedera P; Department of Neurology, Division of Movement Disorders, Vanderbilt University, Nashville, Tennessee, USA., Kocer S; Centre de Rééducation Hôpital du Jura, Porrentruy, Switzerland., Rudzinska-Bar M; Department of Neurology, Faculty of Medicine, Medical University of Silesia, Katowice, Poland., Rubin B; Design Neuroscience Center, Doral, Florida, USA., Timerbaeva SL; Research Center of Neurology, Moscow, Russia., Lusakowska A; Department of Neurology, Medical University of Warsaw, Poland., Boyer FC; EA 3797, Unités de Médecine Physique et de Réadaptation, Hôpital Universitaire Sébastopol, Champagne Ardenne, France., Grandoulier AS; Ipsen Innovation, Les Ulis, France., Vilain C; Ipsen Innovation, Les Ulis, France., Picaut P; Ipsen Innovation, Les Ulis, France.
مؤلفون مشاركون: International AbobotulinumtoxinA Adult Upper Limb Spasticity Study Group
المصدر: Muscle & nerve [Muscle Nerve] 2018 Feb; Vol. 57 (2), pp. 245-254. Date of Electronic Publication: 2017 Aug 13.
نوع المنشور: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Country of Publication: United States NLM ID: 7803146 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-4598 (Electronic) Linking ISSN: 0148639X NLM ISO Abbreviation: Muscle Nerve Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Hoboken, NJ : John Wiley & Sons
Original Publication: New York, NY : John Wiley & Sons
مواضيع طبية MeSH: Botulinum Toxins, Type A/*therapeutic use , Muscle Spasticity/*drug therapy , Neuromuscular Agents/*therapeutic use , Upper Extremity/*physiopathology, Adult ; Aged ; Botulinum Toxins, Type A/administration & dosage ; Botulinum Toxins, Type A/adverse effects ; Disability Evaluation ; Double-Blind Method ; Elbow/physiopathology ; Female ; Fingers/physiopathology ; Humans ; Injections, Intramuscular ; Male ; Middle Aged ; Muscle Spasticity/physiopathology ; Muscle Tonus/drug effects ; Neuromuscular Agents/administration & dosage ; Neuromuscular Agents/adverse effects ; Range of Motion, Articular/drug effects ; Treatment Outcome ; Wrist/physiopathology
مستخلص: Introduction: The efficacy of single injections of abobotulinumtoxinA (Dysport) is established in adults with upper limb spasticity. In this study we assessed the effects of repeated injections of abobotulinumtoxinA over 1 year.
Methods: Patients (n = 258, safety population) received 500 U, 1,000 U, or 1,500 U (1,500-U dose included 500-U shoulder injections) for up to 4 or 5 treatment cycles. Assessments included treatment-emergent adverse events (TEAEs), muscle tone, passive and active range of motion (X V1, X A ), angle of catch (X V3 ), Disability Assessment Scale (DAS) score, Modified Frenchay Scale (MFS) score, and Physician Global Assessment (PGA) score.
Results: The incidence of TEAEs decreased across cycles. Muscle tone reduction and X V1 remained stable across cycles, whereas X V3 and X A continued to improve at the finger, wrist, and elbow flexors. DAS and PGA improved across cycles. MFS improved best with 1,500 U.
Discussion: A favorable safety profile and continuous improvements in active movements and perceived and active function were associated with repeated abobotulinumtoxinA injections in upper limb muscles. Muscle Nerve 57: 245-254, 2018.
(© 2017 The Authors Muscle & Nerve Published by Wiley Periodicals, Inc.)
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فهرسة مساهمة: Keywords: active function; botulinum toxin; open label; stroke; traumatic brain injury; upper limb spasticity
المشرفين على المادة: 0 (Neuromuscular Agents)
EC 3.4.24.69 (Botulinum Toxins, Type A)
EC 3.4.24.69 (abobotulinumtoxinA)
تواريخ الأحداث: Date Created: 20170608 Date Completed: 20190128 Latest Revision: 20190128
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC5811783
DOI: 10.1002/mus.25721
PMID: 28590525
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-4598
DOI:10.1002/mus.25721