Use of botulinum toxin to improve upper limb spasticity and decrease subsequent carer burden in long-term care residents: a randomised controlled study
K Lam1, KK Lau2, KK So2, CK Tam3, YM Wu4, G Cheung4, KS Liang5, KM Yeung2, KY Lam6, S Yui1, C Leung1
1 Cheshire Home, Shatin
2 Department of Medicine and Geriatrics, Princess Margaret Hospital
3 Department of Rehabilitation & Extended Care, TWGHs Wong Tai Sin Hospital
4 Department of Medicine and Geriatrics, Haven of Hope Hospital
5 Department of Medicine and Geriatrics, Shatin Hospital
6 Department of Medicine and Geriatrics, Kwong Wah Hospital
Key Messages
1. Infirmary patients who were treated with intramuscular injection of botulinum toxin A for upper limb spasticity had significant improvement in muscle tone and joint mobility, and caregivers were able to perform basic upper limb care more easily.
2. A basic stretch programme was also beneficial in improving joint mobility, or at least prevented further deterioration of limb contracture in such patients.