Table 1.
Patient characteristics (n = 6) at referral, therapeutic targets, and spasticity therapy
Patient | # 1 | # 2 | # 3 | # 4 | # 5 | # 6 |
---|---|---|---|---|---|---|
Sex | F | F | M | F | M | F |
Age | 67 | 55 | 59 | 79 | 75 | 59 |
Diagnosis/localization | Cerebral infarction, left, subcortical | Cerebral infarction, left, subcortical | Cerebral infarction, left, subcortical + brain stem infarction | Cerebral infarction, left, subcortical | Cerebral infarction, left, subcortical | Brain stem + cerebellum |
Years since injury | 2.5 | 2 | 2.5 | 3 | 1.5 | 17 |
Concomittant diseases/conditions | Hypertension | Hypertension | Hypertension | |||
Medication | Baclofen, Felodipin, ASA, Dipyridamol | ASA, Dipyridamol, Lanzoprasol | Baclofen, Fenytoin, Clopidogrel, Pravastatin | ASA, Dipyridamol, Bisoprolol | Baclofen, ASA, Diltiazem, Dipyridamol, Amilorid, Hydroklorthiazid, Acetylcystein, Budesonid, Formoterol | Warfarin |
Activity limitations/ICF | d4400, d4401, d4403 | d4400-4403 | d4400-4403 | d4401-4403 | d4400-4403 | d4400-4403 |
Ashworth baseline wrist/finger/thumb = average | 2/2/1 = 1.7 | 2/2/2 = 2.0 | 2/3/1 = 2.0 | 1/2/1 = 1.3 | 2/1/1 = 1.3 | 3/3/2 = 2.7 |
Sensory function 2-PD | 3 | 4 | 4 | 3 | 3 | 4 |
Physical therapy | - | - | - | - | - | - |
Occupational therapy | - | x | - | - | - | - |
Orthosis | - | - | - | - | - | - |
Technical aid | walking stick, walker | - | wheel chair | walking stick, walker, wheel chair | walking stick, walker | walker |
Therapeutic targets & spasticity therapy | ||||||
Injected muscle groups | fl dig superfic & profundus, fl poll long, flex carpi uln & radialis | fl dig superfic & profundus, fl poll long, flex carpi uln & radialis, brachialis, brachio-radialis | fl dig superfic & profundus, fl poll long, flex carpi uln & radialis, pron teres, biceps, brachialis, pectotalis | fl dig superfic & profundus, fl poll long, flex carpi uln & radialis | fl dig superfic & profundus, fl poll long, flex carpi uln & radialis, pron teres, biceps, brachialis | fl dig superfic & profundus, fl poll long, flex carpi uln & radialis, pron teres, biceps, brachialis, pectoralis |
BoNT dose [U] | 120 | 300 | 350 | 130 | 350 | 390 |
Physical therapy | x | x | x | x | x | x |
Occupational therapy | - | x | - | - | - | - |
Orthosis | x | x | x | x | x | - |