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NASM: Botox (Botulinum Toxin) Versus Acupressure Effective In Spastic Gait Patients By Lynn Haley Special to DG News SAN DIEGO, CA -- August 19, 2001 -- Hemiplegic patients who exhibit lower limb spasticity following a stroke may improve with the use of acupressure and Botox (botulinum toxin). The research, by researchers at Kessler Medical Rehabilitation Research and Education Corporation in West Orange, New Jersey, was presented at the 2001 North American Stroke Meeting held here August 15th-18th. Researchers assigned six subjects to either Botox, acupressure or a control group. Gait trials were recorded through Vicon Workstation using retroreflective markers and electromyographic (EMG) electrodes prior to and four weeks post-intervention. Subjects assigned to the Botox group received 400 u to muscles targeted by EMG. Those who were assigned acupressure received treatment to eight muscles on the affected leg twice a week for four weeks. Results showed that when compared to the control group, patients receiving acupressure improved in cadence, velocity and stride length and times. One Botox subject demonstrated improvement in range-of-motion at the ankle (average stance was 2.3 degrees, swing average 2.7 degrees), knee (average stance 5.6 degrees, swing 9.5), and hip joints (stance 1.49 degrees, swing 27 degrees). The other showed no improvement. Researchers say that acupressure and Botox can be used in stroke survivors with hemiplegia with lower limb spasticity. Acupressure improves temporal/spatial parameters, while Botox appears to improve range-of-motion. Further study using a larger sample size will determine the efficacy of these treatments, the authors recommended. Related Link: Botox (botulinum toxin). E-mail this page to a friend or colleague! To print, use this version