title: [The features of botulinum therapy for different patterns of poststroke spasticity].
abstract: OBJECTIVE
  To assess the efficacy of botulinum toxin therapy for different patterns of poststroke spasticity.
  
  
  METHODS
  Thirty-nine patients with poststroke spasticity were examined. Rehabilitation included 4 treatment courses of inpatient rehabilitation during 9 month usinga multidisciplinary team approach. Botulinum toxin therapy was included in the program. The individual program was developed taking into account the dynamics of a pathological spastic pattern.
  
  
  CONCLUSIONS
  The transformation of the pathological movement pattern was observed during the rehabilitation using botulinum toxin. The best positive changes, including an improvement of the upper extremity function, walk and a decrease in the degree of paresis, was identified when botulinum toxin therapy was used in early stages of neurorehabilitation (1-3 month after stroke).
authors.affiliation: Department of Medical Rehabilitation of Patients with Central Nervous System Lesion, Hospital of War Veterans, Naberezhnye Chelny, Russia.
authors.forename: L V
authors.initials: LV
authors.lastname: Krylova
authors.affiliation: Kazan State Medical University of the Ministry of Healse of the Russian Federation, Kazan, Russia.
authors.forename: D R
authors.initials: DR
authors.lastname: Khasanova
mesh_terms: D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000209:etiology*; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D010291:Paresis / Q000503:physiopathology / Q000534:rehabilitation; D020521:Stroke / Q000150:complications*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome; D034941:Upper Extremity
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A; C542869:abobotulinumtoxinA; C545476:incobotulinumtoxinA