Open AccessPOST-STROKE FOCAL HAND DYSTONIA
Author(s) -
Muhammad Umar,
Tahir Masood,
Mazhar Badshah
Publication year - 2018
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2018.25.02.444
Subject(s) - medicine , focal dystonia , stroke (engine) , dystonia , rehabilitation , physical therapy , physical medicine and rehabilitation , botulinum toxin , quality of life (healthcare) , randomized controlled trial , surgery , mechanical engineering , nursing , psychiatry , engineering
Objectives: To determine the effects of Botulinum toxin A (BoNTA) with taskspecific training on hand function and quality of life in patients with post stroke focal dystonia ofhand. Study Design: Randomized Controlled Trial. Place and Duration of Study: This studywas conducted in Holy family hospital, The Neurocounsel and Chambeli Rehabilitation centerfrom October 2015 to September 2016. Methodology: Both male and female patients sufferingfrom stroke for at least 6 months with focal hand dystonia were included in this randomizedcontrolled trial. 46 patients were recruited in the study through non probability purposivesampling and then were allocated to control (n=23) and experimental group (n=23) by randomnumber list generated for 46 patients using SPSS software. Control group was provided withonly task specific training while experimental group was provided with an injection of BotulinumToxin A in addition to task-specific training. Data was collected from both groups at baselineand then after 8 weeks by using Action Research Arm Test (ARAT), Stroke specific qualityof life (SS-QOL) and Arm dystonia disability scale (ADDS). Results: Although both groupsshowed significant improvements after training(P value <0.001) in both ARAT scale and SSQOLbut as shown by the difference of means of the groups, experimental group has shownmore improvement than control group at the end of 8 weeks of intervention with P value<0.05.ADDS has also shown better results in reducing disability in experimental group as compared tocontrol group. Conclusion: Botulinum toxin A prior to start of task specific training significantlyimproves outcome in post stroke focal hand dystonia patients than task specific training alone.