Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · May 2008
Randomized Controlled Trial Comparative StudyComparative impact of 2 botulinum toxin injection techniques for elbow flexor hypertonia.
To compare 2 techniques of botulinum toxin injection for elbow flexor hypertonia. ⋯ In 31 adults with acquired brain injury, single motor point and multisite distributed injections of low-dose, high-volume BTX-A had similar impact. Findings suggest that low-dose, high-volume strategies may have a potential role in reducing drug cost and helping clinicians stay within accepted limits for total body dose in patients with upper motoneuron syndrome requiring many injections.