Shoulder pain and external rotation in spastic hemiplegia do not improve by injection of botulinum toxin A into the subscapular muscle

Boer, Kees S. de; Arwert, Henk J.; Groot, Jurriaan H. de; Meskers, Carel G.M.; Mishre, A D Rambaran; Arendzen, J. Hans

doi:10.1136/jnnp.2007.128371

Cited by 48 publications

(55 citation statements)

References 11 publications

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“…de Boer and colleagues 139 showed no impact of botulinum toxin injection into the subscapularis of painful hemiplegic shoulders, whereas Yelnick and colleagues 140 showed significant reductions in pain scores in patients treated for shoulder spasticity. Some investigators have noted reduced pain with shoulder movement after botulinum toxin injections to the pectoralis major and biceps brachii, but others found no change in reported pain scores after pectoralis major injection.…”

Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,083

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,083

840

View full text Add to dashboard Cite

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“…putting the arm through a sleeve, or used global disability scales as functional outcomes measures. Of the 16 previous studies only nine defined a primary outcome measure [38][39][40][41]43,44,47,50,51 and only one was a functional assessment. 40 Defining a clinically meaningful change in arm function is difficult and the judgements upon which the decision is based can always be challenged.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…For 8/16 previously published studies 37,38,40,43,45,47,48,51 recruitment was from rehabilitation clinics and for the other 8/16 studies 36,39,41,42,44,46,49,50 the setting was unclear. None recruited participants from the wider stroke population.…”

Section: Study Participantsmentioning

confidence: 99%

“…Eight trials [44][45][46][47][48][49][50][51] and four systematic reviews [53][54][55][56] were published following the start of this study in 2005. Details of our literature search strategy, methodological appraisal of the papers, overview of the studies, and a summary of the systematic reviews can be found in Appendix 1.…”

Section: Review Of the Evidence For Treating Upper Limb Spasticity Dumentioning

confidence: 99%

“…Sixteen randomised controlled trials (RCTs) [36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51] and five systematic reviews [52][53][54][55][56] evaluating the clinical effectiveness of botulinum toxin as a treatment for upper limb spasticity after stroke have been published. Eight trials [44][45][46][47][48][49][50][51] and four systematic reviews [53][54][55][56] were published following the start of this study in 2005.…”

Section: Review Of the Evidence For Treating Upper Limb Spasticity Dumentioning

confidence: 99%

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BoTULS: a multicentre randomised controlled trial to evaluate the clinical effectiveness and cost-effectiveness of treating upper limb spasticity due to stroke with botulinum toxin type A

Shaw

Rodgers²,

Price³

et al. 2010

Health Technol Assess

163

126

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on behalf of the BoTULS investigatorsHow to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are...

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