Journal article

OUTCOMES OF AMBULATORY REHABILITATION PROGRAMMES FOLLOWING BOTULINUM TOXIN FOR SPASTICITY IN ADULTS WITH STROKE

Marina Demetrios, Alexandra Gorelik, Julie Louie, Caroline Brand, Ian J Baguley, Fary Khan

JOURNAL OF REHABILITATION MEDICINE | FOUNDATION REHABILITATION INFORMATION | Published : 2014

Abstract

OBJECTIVE: To examine the benefits of high intensity ambulatory rehabilitation programmes over usual care following botulinum toxin A (BoNT-A) for post-stroke spasticity in Australian adults. DESIGN: Prospective single centre, controlled clinical trial. PARTICIPANTS: Fifty-nine adults, median 61 years old and 2.5 years following stroke. METHODS: PARTICIPANTS were dichotomised into high intensity ambulatory rehabilitation programmes (≥ 3 × 1-h weekly sessions for approximately 10 weeks) or usual care programmes (≤ 2 × 1-h weekly sessions) following BoNT-A injections for spasticity. A blinded assessor completed outcomes at 0 (baseline), 6, 12 and 24 weeks. Primary endpoints: proportion of part..

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Grants

Funding Acknowledgements

We are grateful to all participants and therapists who provided therapy. We thank the Rehabilitation Medicine Department staff, including Drs: Geoff Abbott, Louisa Ng, Edwin Luk, Ishani Rajapaksa, Aarathi Vaska and Brinda Thirugnanam; Shane McSweeney for performing outcome assessments, and Lynne Turner-Stokes for providing valuable advice. This study was partially funded by the Australasian Faculty of Rehabilitation Medicine, Ipsen Open Research Fellowship. The funder has had no influence on the interpretation of data and the final conclusions drawn.