Hand Rehabilitation Using Botulinum Toxin and Functional Electrical Stimulation-pilot Study

Hand Rehabilitation Using Botulinum Toxin and Functional Electrical Stimulation Among Stroke Patients With Limitation of Finger Extension Due to Spasticity- Pilot Study

The investigator tried to find out possibility of functional improvement using botulinum toxin injection targeting finger flexor spasticity with functional electrical stimulation among chronic stroke patients who did not show any improvement in hand function.

Inclusion Criteria:

• age over 18 years
• hemiplegic upper limb spasticity secondary to a unilateral ischemic or hemorrhagic stroke
• fingers and wrist flexor spasticity graded at least 1+ on the Modified Ashworth Scale
• at least 6 months since stroke

Exclusion Criteria:

• fixed contracture
• previous treatment of the upper limb spasticity with neurolytic or surgical procedure
• treatment with botulinum toxin type A in the previous 4 months
• any active device implant
• any neurological disorder, other than stroke causing motor deficits or spasticity
• inability to attend to and/or to cooperate with all outcome measure-related task secondary to cognitive impairment or aphasia
• pregnancy, planned pregnancy, or lactation
• contraindication to botulinum toxin type A