Abstract |
Botulinum toxin type A ( BoNT-A) has been recommended in various neurological disorders as a useful tool for alleviating dystonia. In Wilson disease (WD) patients with dystonia, BoNT-A injection can be used as a treatment modality when conventional treatment is ineffective for alleviating symptoms. The purpose of this study was to thoroughly evaluate the efficacy of BoNT-A injection in treating WD complicated by lower extremity dystonia. The efficacy of these injections was assessed by clinical scales, surface electromyography (EMG), and gait analysis. A comparative analysis of all gait parameters, EMG parameters, and clinical scales revealed a significant increase in velocity, decrease in integrated EMG (iEMG), and improvement in modified Ashworth scale (MAS), Burke Fahn Marsden (BFM), and activities of daily living ( ADL) scores (all P < 0.05). Overall, our findings indicated that BoNT-A injection led to marked relief of symptoms in patients with WD with lower extremity dystonia.
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Authors | Zeyu Cao, Rao Rao, Tong Wu, Shangzhi Chen, Saiwei Xing, Yongsheng Han |
Journal | Toxicon : official journal of the International Society on Toxinology
(Toxicon)
Vol. 221
Pg. 106959
(Jan 01 2023)
ISSN: 1879-3150 [Electronic] England |
PMID | 36343759
(Publication Type: Journal Article)
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Copyright | Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved. |
Chemical References |
- Botulinum Toxins, Type A
- Neuromuscular Agents
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Topics |
- Humans
- Botulinum Toxins, Type A
(therapeutic use)
- Dystonia
(drug therapy)
- Prospective Studies
- Hepatolenticular Degeneration
(drug therapy)
- Activities of Daily Living
- Dystonic Disorders
(drug therapy)
- Treatment Outcome
- Neuromuscular Agents
(therapeutic use)
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