[Post-stroke spasticity of the lower limb: a comprehensive rehabilitation of patients with the use of botulinum toxin (onabotulinumtoxin A)].
OBJECTIVE: To examine the efficacy of onabotulinumtoxin A (Botox) in the complex rehabilitation of patients with post-stroke spasticity of the leg in the early rehabilitation period of stroke. MATERIALS AND METHODS: The study group comprised 31 patients in the early recovery period after stroke with the presence of equino-varus deformity of the foot with spasticity grade 3 or more (MAS). All patients received injections of onabotulinumtoxin A (Botox) in a total dose 400 ED as part of a comprehensive rehabilitation program. Dynamics of neurological status, spasticity, pain, function of walking and everyday activity was evaluated. RESULTS AND СONCLUSION: The high efficacy of botulinum neurotoxin type A was demonstrated. The drug reduced the severity of spasticity and discomfort in the leg and foot; promoted independent movement and increased walking speed of the patient.