scholarly journals Faculty Opinions recommendation of Efficacy of a combined treatment of botulinum toxin and intensive physiotherapy in hereditary spastic paraplegia.

Author(s):  
Alexandra Durr
2020 ◽  
Vol 14 ◽  
Author(s):  
Gabriella Paparella ◽  
Marinela Vavla ◽  
Lisa Bernardi ◽  
Giulia Girardi ◽  
Cristina Stefan ◽  
...  

2021 ◽  
Author(s):  
Fabricio Diniz de Lima ◽  
Ingrid Faber ◽  
Katiane R. Servelhere ◽  
Maria Fernanda R. Bittar ◽  
Alberto R.M. Martinez ◽  
...  

2018 ◽  
Vol 76 (3) ◽  
pp. 183-188 ◽  
Author(s):  
Katiane R. Servelhere ◽  
Ingrid Faber ◽  
Alberto Martinez ◽  
Renato Nickel ◽  
Adriana Moro ◽  
...  

ABSTRACT Motor and non-motor manifestations are common and disabling features of hereditary spastic paraplegia (HSP). Botulinum toxin type A (Btx-A) is considered effective for spasticity and may improve gait in these patients. Little is known about the effects of Btx-A on non-motor symptoms in HSP patients. Objective To assess the efficacy of Btx-A on motor and non-motor manifestations in HSP patients. Methods Thirty-three adult patients with a clinical and molecular diagnosis of HSP were evaluated before and after Btx-A injections. Results Mean age was 41.7 ± 13.6 years and there were 18 women. Most patients had a pure phenotype and SPG4 was the most frequent genotype. The Btx-A injections resulted in a decrease in spasticity at the adductor muscles, and no other motor measure was significantly modified. In contrast, fatigue scores were significantly reduced after Btx-A injections. Conclusion Btx-A injections resulted in no significant functional motor improvement for HSP, but fatigue improved after treatment.


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