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Clinical Rehabilitation
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What's this?

The effect of botulinum toxin on hand function after incomplete spinal cord injury at the level of C5/6: a case report

D. Richardson

The National Hospital for Neurology and Neurosurgery, Queen Square, London

S. Edwards

The National Hospital for Neurology and Neurosurgery, Queen Square, London

GL Sheean

The National Hospital for Neurology and Neurosurgery, Queen Square, London

RJ Greenwood

The National Hospital for Neurology and Neurosurgery, Queen Square, London

AJ Thompson

The National Hospital for Neurology and Neurosurgery, Queen Square, London

Objective: To investigate the benefits of the focal use of botulinum toxin in spasticity in the forearm seen after incomplete spinal cord injury.

Design: A single case study with standardized assessment before and at three-week intervals after injection.

Intervention: EMG-guided selective injection of botulinum toxin.

Subject: A 23-year-old man, 18 months post injury.

Measures: Rivermead Motor Assessment; grip strength; Jebsen hand tests; visual analogue scale; Ashworth spasticity scale.

Results: Weakness was seen as expected with some functional losses, but the patient made gains in the areas of concern: shaking hands, typing, using the hand to drink. These gains were sustained at 12 weeks.

Conclusion: Selective use of botulinum toxin to weaken muscles can lead to functional benefit.

Clinical Rehabilitation, Vol. 11, No. 4, 288-292 (1997)
DOI: 10.1177/026921559701100404
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