Comparison of Botulinum Toxin Injection Techniques in Spasticity
NCT ID: NCT05615987
Last Updated: 2022-11-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
PHASE4
60 participants
INTERVENTIONAL
2022-12-01
2023-10-01
Brief Summary
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The main question it aims to answer Is botulinum toxin more effective in the treatment of spasticity than the classical application applied along the length of the gastrocnemius muscle? Participants will be evaluated for spasticity before and 1 month after injection.
Researchers will compare classical versus application along the length of the muscle to see if there is a reduction in spasticity.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Classic injection
200iu/2ml OnabotulinumtoxinA in total to 2-4 points proximal to the gastrocnemius muscle
Onabotulinumtoxina for Injection
200iu/2ml in both groups
İnjection along the length of the muscle
A total of 200iu/2ml of onabotulinumtoxinA by spreading along the length of the gastrocnemius muscle
Onabotulinumtoxina for Injection
200iu/2ml in both groups
Interventions
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Onabotulinumtoxina for Injection
200iu/2ml in both groups
Eligibility Criteria
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Inclusion Criteria
* Spasticity in the gastrocnemius muscle
Exclusion Criteria
* Those who use myorelaxant or myospasm-effective drugs
* Those who have been applied botulinum toxin in the last 3 months
* Those who have contractures in the ankle and knee due to orthopedic reasons.
18 Years
90 Years
ALL
No
Sponsors
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Konya Beyhekim Training and Research Hospital
OTHER_GOV
Responsible Party
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Savaş Karpuz
Medical doctor
Principal Investigators
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Savaş Karpuz
Role: PRINCIPAL_INVESTIGATOR
Konya Beyhekim Training and Research Hospital
Locations
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Konya Beyhekim Research and Training Hospital
Konya, Selçuklu, Turkey (Türkiye)
Countries
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Central Contacts
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References
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Kim MW, Kim JH, Yang YJ, Ko YJ. Anatomic localization of motor points in gastrocnemius and soleus muscles. Am J Phys Med Rehabil. 2005 Sep;84(9):680-3. doi: 10.1097/01.phm.0000176341.85398.a9.
Prodanov D, Nagelkerke N, Marani E. Spatial clustering analysis in neuroanatomy: applications of different approaches to motor nerve fiber distribution. J Neurosci Methods. 2007 Feb 15;160(1):93-108. doi: 10.1016/j.jneumeth.2006.08.017. Epub 2006 Oct 17.
Shaari CM, Sanders I. Quantifying how location and dose of botulinum toxin injections affect muscle paralysis. Muscle Nerve. 1993 Sep;16(9):964-9. doi: 10.1002/mus.880160913.
Prodanov D, Thil MA, Marani E, Delbeke J, Holsheimer J. Three-dimensional topography of the motor endplates of the rat gastrocnemius muscle. Muscle Nerve. 2005 Sep;32(3):292-302. doi: 10.1002/mus.20378.
Childers MK, Kornegay JN, Aoki R, Otaviani L, Bogan DJ, Petroski G. Evaluating motor end-plate-targeted injections of botulinum toxin type A in a canine model. Muscle Nerve. 1998 May;21(5):653-5. doi: 10.1002/(sici)1097-4598(199805)21:53.0.co;2-w.
Kaymak B, Kara M, Tok F, Ulasli AM, Ozturk GT, Chang KV, Hsiao MY, Hung CY, Yagiz On A, Ozcakar L. Sonographic guide for botulinum toxin injections of the lower limb: EUROMUSCULUS/USPRM spasticity approach. Eur J Phys Rehabil Med. 2018 Jun;54(3):486-498. doi: 10.23736/S1973-9087.17.04667-6. Epub 2017 Apr 4.
Karpuz S, Yilmaz R, Yilmaz H. Comparison of the Efficacy of 2 Different Botulinum Toxin Injection Techniques in Gastrocnemius Muscle Spasticity in Hemiplegic Patients: A Randomized Double-Blind Controlled Study. Arch Phys Med Rehabil. 2025 Mar;106(3):327-332. doi: 10.1016/j.apmr.2024.09.011. Epub 2024 Sep 27.
Other Identifiers
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2022-01-14
Identifier Type: -
Identifier Source: org_study_id
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