- CConnexion
RééDOC
75 Boulevard Lobau 54042 NANCY cedex Christelle Grandidier Documentaliste 03 83 52 67 64 0
|
Botulinum neurotoxin type B and physical therapy in the treatment of piriformis syndrome
FISHMAN LM; KONNOTH C; ROZNER B
AM J PHYS MED REHABIL , 2004, vol. 83, n° 1, p. 42-50 Doc n°: 112864 Localisation : Documentation IRR Descripteurs : CE52 - SCIATIQUE, AD35 - DYSPHAGIE Objective: To measure dosage effects of botulinum neurotoxin type B with physical therapy in piriformis syndrome. Design: Prospective study of consecutive patients complaining of buttock pain and sciatica, measuring serial H-reflex tests in flexion, adduction, and internal rotation; visual analog scale; and adverse effects at 0, 2, 4, 8, and 12 wks. We used an electrophysiologic criterion for piriformis syndrome : a 1.86msec prolongation of the H-reflex with the flexion, adduction, and internal rotation test. Four piriformis syndrome groups were identified. Serial groups were injected once with either 5000, 7500, 10,000, or 12,500 units of botulinum neurotoxin type B in successive months under electromyographic guidance in four separate locations of the affected piriformis muscle, with a 1-mo safety observation period between groups. Patients received physical therapy twice weekly for 3 mos. Langue : ANGLAIS |
0
|