Saif Alam
Upper extremity spasticity can cause extreme pain combined with multiple headaches that can interfere with the patient's daily sports activities. May lead to a reduction in obesity and improvement in contractures, which may result in similar limitations in daily exercise. Our aim was to examine the exercise style of Canadian physicians using neurolysin type A (BoNT-A) injections to control shoulder spasticity. Fifty Canadian physical therapy and rehabilitation (PM&R) physicians responded to the survey, with an overall expected rate of (36.23%). Respondent demographics come from a variety of states, medical institutions, and affected populations. The maximally injected muscles for shoulder adduction and internal rotation spasticity became the pectoralis major, observed through the latissimus dorsi, pectoralis minor, subscapularis, and teres major. Injection of BoNT-A for complex post-stroke shoulder spasticity is not uncommon, with (81.48%) members reporting that it was used regularly or frequently to treat poststroke spasticity (PSS). BoNT-A dose showed variability in the injected muscles, in addition to the type of toxin used. Sick, caregiver, and practitioner dreams were used to assist in manual control of the sick. As a result, Canadian physicians treating shoulder spasticity vary in their exercise style based on several factors in the individual affected. Future studies will explore best-in-class treatment styles and algorithm improvements to standardize treatment.
KeywordsMuscle spasticity; Spastic hemiplegia
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