دورية أكاديمية
Ultrasonographic Evaluation of Three Approaches for Botulinum Toxin Injection into Tibialis Posterior Muscle in Chronic Stroke Patients with Equinovarus Foot: An Observational Study
| العنوان: | Ultrasonographic Evaluation of Three Approaches for Botulinum Toxin Injection into Tibialis Posterior Muscle in Chronic Stroke Patients with Equinovarus Foot: An Observational Study |
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| المؤلفون: | Stefania Spina, Salvatore Facciorusso, Chiara Botticelli, Domenico Intiso, Maurizio Ranieri, Antonio Colamaria, Pietro Fiore, Chiara Ciritella, François Genêt, Andrea Santamato |
| المصدر: | Toxins, Vol 13, Iss 11, p 829 (2021) |
| بيانات النشر: | MDPI AG, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | BoNT-A ultrasound-guided injection, spastic equinovarus foot, tibialis posterior muscle, stroke, Medicine |
| الوصف: | Spastic equinovarus (SEV) foot deformity is commonly observed in patients with post-stroke spasticity. Tibialis posterior (TP) is a common target for botulinum toxin type-A (BoNT-A) injection, as a first-line treatment in non-fixed SEV deformity. For this deep muscle, ultrasonographic guidance is crucial to achieving maximum accuracy for the BoNT-A injection. In current clinical practice, there are three approaches to target the TP: an anterior, a posteromedial, and a posterior. To date, previous studies have failed to identify the best approach for needle insertion into TP. To explore the ultrasonographic characteristics of these approaches, we investigated affected and unaffected legs of 25 stroke patients with SEV treated with BoNT-A. We evaluated the qualitative (echo intensity) and quantitative (muscle depth, muscle thickness, overlying muscle, subcutaneous tissue, cross-sectional area) ultrasound characteristics of the three approaches for TP injection. In our sample, we observed significant differences among almost all the parameters of the three approaches, except for the safety window. Moreover, our analysis showed significant differences in cross-sectional area between treated and untreated. Advantages and disadvantages of each approach were investigated. Our findings can thus provide a suitable reference for clinical settings, especially for novice operators. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 13110829 2072-6651 |
| العلاقة: | https://www.mdpi.com/2072-6651/13/11/829Test; https://doaj.org/toc/2072-6651Test |
| DOI: | 10.3390/toxins13110829 |
| الوصول الحر: | https://doaj.org/article/9bdac4387bb84d88a049bfede698f5eeTest |
| رقم الانضمام: | edsdoj.9bdac4387bb84d88a049bfede698f5ee |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 13110829 20726651 |
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| DOI: | 10.3390/toxins13110829 |