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Assessing the objective measurement of passive joint mobility (ROM) in the spastic upper limb with Jost's pattern III in patients with post-stroke spasticity after infiltration with BoNT-A allows to objectify the increase in passive joint balance (ROM).
Changes in joint mobility in patients with post-stroke upper limb spasticity after infiltration of botulinum toxin type A.
The spasticity pattern that will be evaluated will be pattern number III based on the classification of Jost et al. Joint mobility will be measured with the Lynx instrument (DyCare)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Range of movement | Change in passive joint mobility (ROM) of the carpus (flexion-extension) affected by spasticity pattern III during a 20-week follow-up. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Abobotulinum toxin A | Drug | To measure ROM evolution in patients with post-stroke spasticity in the upper limb with spasticity pattern III. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in passive range of motion | Change in passive joint mobility (ROM) of the upper limb affected by spasticity pattern III a 20-week follow-up. | Through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Patients aged ≥ 18 years.
Hemiplegic patients with post-stroke upper limb spasticity affected by pattern III1 who have undergone at least 2 cycles of previous treatment with BoNT-A
Patients with a MAS scale (Modified Ashworth Scale) between 2 and 3 for the affected muscle group; shoulder, elbow, carpus and metacarpophalangeal.
Patients with Hackett ultrasound qualitative scale between 2 and 3 for the affected muscle group; shoulder, elbow, carpus and metacarpophalangeal.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital de la Santa Creu i Sant Pau | Barcelona | 08041 | Spain |
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| ID | Term |
|---|---|
| D009128 | Muscle Spasticity |
| D009069 | Movement Disorders |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D009122 | Muscle Hypertonia |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| C542869 | abobotulinumtoxinA |
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