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The effect of injecting botulinum toxin type a into the calf muscles on freezing of gait in Parkinson's disease: A double blind placebo-controlled pilot study

✍ Scribed by Tanya Gurevich; Chava Peretz; Orna Moore; Nina Weizmann; Nir Giladi


Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
61 KB
Volume
22
Category
Article
ISSN
0885-3185

No coin nor oath required. For personal study only.

✦ Synopsis


Abstract

Objective

To assess the effect on freezing of gait (FOG) of botulinum toxin type A (BTX‐A) injections in advanced Parkinson's disease (PD) patients.

Method

BTX‐A 150 IU or normal saline was injected into each leg's calf muscles by a blinded investigator. FOG severity was assessed at set intervals (6‐month follow‐up).

Results

Eleven age‐ and disease severity‐matched PD patients with disabling FOG participated. Six patients received BTX‐A and 5 received saline. No improvement was observed in either group over time. Leg weakness and falls lead to early termination.

Conclusion

BTX‐A injections to the legs did not improve FOG and might increase fall risk. © 2007 Movement Disorder Society


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