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Electromyography-guided botulinum toxin injections in provoked vestibulodynia: a randomized double-blind placebo-controlled clinical trial.
[BACKGROUND] Provoked vestibulodynia is a prevalent and complex disease with a major effect on women's quality of life. This condition is often associated with abnormal reflexes and muscle hypertonicity. Local injections of Onabotulinum tox…
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Case Report: Combination of focal vibration therapy and botulinum toxin injections to treat equinus gait in a child with unilateral spastic cerebral palsy.
[INTRODUCTION] Focal vibration therapy (FVT) is increasingly used in the treatment of spastic paresis. In adults, it has been shown to reduce spasticity and to increase torque production from the vibrated muscles by restoring reciprocal inh…
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Vestibulodynia: Clinical characteristics, first-line treatments, and factors associated with escalation of treatment with EMG-guided injections of botulinum toxin in a retrospective french cohort study.
[BACKGROUND] Vestibulodynia is a highly prevalent chronic pain disorder affecting the vulva having a major impact on women's physical, psychological, and sexual well-being. It remains an underrecognized disease that responds insufficiently …
- Management of antithrombotics for intramuscular injection of botulinum toxin for spasticity. A survey of real-life practice in France.
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Successive motor nerve blocks to identify the muscles causing a spasticity pattern: example of the arm flexion pattern.
Botulinum Toxin A has been the main treatment for spasticity since the beginning of the 1990s. Surprisingly, there is still no consensus regarding injection parameters or, importantly, how to determine which muscles to target to improve spe…
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An alternative treatment for contractures of the elderly institutionalized persons: Microinvasive percutaneous needle tenotomy of the finger flexors.
[BACKGROUND] Almost 10% of older adults in nursing homes have a fixed flexion deformity of the fingers (claw hand). Such contractures have important functional consequences, often leading to hygiene difficulties. Medical treatment (such as …
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Muscle structure and stiffness assessment after botulinum toxin type A injection. A systematic review.
[BACKGROUND] Botulinum toxin type A manages spasticity disorders in neurological central diseases. Some studies have reported that it might induce muscle changes. [METHODS] We present a literature review abiding by the PRISMA statement gui…
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Effectiveness and Complications of Percutaneous Needle Tenotomy with a Large Needle for Muscle Contractures: A Cadaver Study.
[BACKGROUND] Twenty-two percent of institutionalised elderly persons have muscle contractures. Contractures have important functional consequences, rendering hygiene and positioning in bed or in a chair difficult. Medical treatment (such as…