Botulinotherapist's desktop atlas. Ultrasonic control of botulinum toxin. Tutorial. 2nd edition. Ed. Khatkova S.E.

You hold in your hands a publication dedicated to the basics of treatment of spasticity through injection of botulinum toxin under ultrasound control.

Today, botulinum therapy is used, perhaps, in all areas of clinical medicine, and interest in it is constantly growing. In the treatment of many neurological diseases, as well as in the rehabilitation of patients after a stroke or injury, intramuscular administration of botulinum toxin has the highest level of evidence (a) with respect to a decrease in muscle tone and improving the passive function of the upper limb.

The problem of spasticity recently It is becoming more and more relevant. Every year in Russia, about 400 thousand people carry a stroke, more than 180 thousand receive severe traumatic brain injuries, as a result of which a motor deficit and an increase in muscle tone are formed, which lead to restriction of legal capacity, social maladaptation of patients and other severe consequences. P> Patients rehabilitation often becomes impossible precisely due to the fact that muscle hyperactivity (spasticity) interferes with functional restoration, causes pain, is the cause of deformations of affected limbs and many other problems. Botulinic toxin injections are the first line therapy, in particular, in the correction of the focal spasticity of the upper limb in patients after a stroke or traumatic brain injury.