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The Effect of Botulinum Toxin Type A Injection in the Rectus Femoris in Stroke Patients Walking With a Stiff Knee Gait: A Randomized Controlled Trial.

무작위 임상시험 3/5 보강
Neurorehabilitation and neural repair 2023 Vol.37(9) p. 640-651 cited 14 OA Botulinum Toxin and Related Neurolog
TL;DR BoNT-A injections in the rectus femoris is a valuable treatment option for stroke patients walking with a SKG to improve knee kinematics and functional outcome in adult stroke patients.
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PubMed DOI OpenAlex Semantic 마지막 보강 2026-04-28
연도별 인용 (2024–2026) · 합계 14
OpenAlex 토픽 · Botulinum Toxin and Related Neurological Disorders Stroke Rehabilitation and Recovery Cerebral Palsy and Movement Disorders

Tenniglo MJB, Nene AV, Rietman JS, Buurke JH, Prinsen EC

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BoNT-A injections in the rectus femoris is a valuable treatment option for stroke patients walking with a SKG to improve knee kinematics and functional outcome in adult stroke patients.

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  • 연구 설계 randomized controlled trial

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APA M. Tenniglo, Anand V. Nene, et al. (2023). The Effect of Botulinum Toxin Type A Injection in the Rectus Femoris in Stroke Patients Walking With a Stiff Knee Gait: A Randomized Controlled Trial.. Neurorehabilitation and neural repair, 37(9), 640-651. https://doi.org/10.1177/15459683231189712
MLA M. Tenniglo, et al.. "The Effect of Botulinum Toxin Type A Injection in the Rectus Femoris in Stroke Patients Walking With a Stiff Knee Gait: A Randomized Controlled Trial.." Neurorehabilitation and neural repair, vol. 37, no. 9, 2023, pp. 640-651.
PMID 37644725 ↗

Abstract

[BACKGROUND] Over activity of the rectus femoris is often cited as a main cause for stiff knee gait (SKG). Botulinum toxin (BoNT) can be used to reduce this over activity. Inconsistent results for the effect of BoNT injections were found in literature which can possibly be explained by the study design as these were uncontrolled or non-randomized studies.

[OBJECTIVE] To conduct a randomized controlled trial (RCT) to investigate the effect of botulinum toxin type A (BoNT-A) injections in the rectus femoris on gait kinematics and functional outcome in adult stroke patients.

[METHODS] Twenty-six participants were included in this triple-blind cross-over RCT. The intervention consisted of an injection with BoNT-A. Placebo is an injection with saline. Besides knee and hip kinematics, functional outcomes were measured.

[RESULTS] Comparison of the effect of BoNT-A injection to placebo injection showed a significant increase in peak knee flexion and knee range of motion of 6.7° and 4.8° respectively. There was no difference in hip kinematics. In functional outcomes, only the 6 Minute Walking Test showed a significant increase of 18.3 m.

[CONCLUSIONS] BoNT-A injections in the rectus femoris is a valuable treatment option for stroke patients walking with a SKG to improve knee kinematics. To study the effect on functional outcome more research is necessary with different functional outcome measures that can capture the effect in kinematics. It is important to use kinematic measurements to demonstrate effects in quality of movement that are not captured by commonly used functional outcome measurements post stroke. https://trialsearch.who.int/Trial2.aspx?TrialID=NTR2169.

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유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 3

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