Comparison of Botulinum Toxin Injection Techniques in Spasticity

Comparison of the Efficacy of 2 Different Botulinum Toxin Injection Techniques in Gastrocnemius Muscle Spasticity in Hemiplegic Patients: A Randomized Double-blind Controlled Study.

The aim of the study is to compare the effectiveness of the classical (2-4 points to the muscle proximal) application of botulinum toxin in the treatment of spasticity with the application along the length of the gastrecnemius muscle.

The main question it aims to answer Is botulinum toxin more effective in the treatment of spasticity than the classical application applied along the length of the gastrocnemius muscle? Participants will be evaluated for spasticity before and 1 month after injection.

Researchers will compare classical versus application along the length of the muscle to see if there is a reduction in spasticity.

Inclusion Criteria:

• Diagnosed with spastic hemiplegia
• Spasticity in the gastrocnemius muscle

Exclusion Criteria:

• Those who have spasticity in other muscles that will affect ankle movements
• Those who use myorelaxant or myospasm-effective drugs
• Those who have been applied botulinum toxin in the last 3 months
• Those who have contractures in the ankle and knee due to orthopedic reasons.