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Emerging Concepts and Evidence in Telematics Novel Approaches or Treatments for Spasticity Management After Botulinum Injection

There is a strong recommendation for the use of intramuscular botulinum toxin in patients with persistent or progressive spasticity affecting one or more joints and who have an identifiable therapeutic target. After a botulinum toxin injection, a stretching intervention improves the results of the t...

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Autores principales: Bascuñana-Ambrós, Helena, Nadal-Castells, Mª Josep, Ramírez-Mirabal, Eliot, Beranuy-Rodriguez, Marta, Pintor-Ojeda, Alberto, Perrot-González, Jean-Claude
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397790/
https://www.ncbi.nlm.nih.gov/pubmed/36188770
http://dx.doi.org/10.3389/fresc.2021.720505
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author Bascuñana-Ambrós, Helena
Nadal-Castells, Mª Josep
Ramírez-Mirabal, Eliot
Beranuy-Rodriguez, Marta
Pintor-Ojeda, Alberto
Perrot-González, Jean-Claude
author_facet Bascuñana-Ambrós, Helena
Nadal-Castells, Mª Josep
Ramírez-Mirabal, Eliot
Beranuy-Rodriguez, Marta
Pintor-Ojeda, Alberto
Perrot-González, Jean-Claude
author_sort Bascuñana-Ambrós, Helena
collection PubMed
description There is a strong recommendation for the use of intramuscular botulinum toxin in patients with persistent or progressive spasticity affecting one or more joints and who have an identifiable therapeutic target. After a botulinum toxin injection, a stretching intervention improves the results of the treatment, and it should be performed by patients and/or caregivers after being trained by a therapist. Adherence to this recommendation remains low once the therapist stops following the patient. The COVID-19 pandemic has increased the use of telemedicine with different approaches to treat patients. There has been an increased use of motivational applications, with virtual reality software and real-life videos, which provide a gaming experience that increases adherence. There are programs with synchronous telehealth exercises guided by physical therapists or software with sensor-based technology that shows the range of motion (ROM) and strength of the muscles of a particular joint. These new approaches to patient follow-up appear to increase adherence to exercise because they need to be “watched and controlled” is achieved.
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spelling pubmed-93977902022-09-29 Emerging Concepts and Evidence in Telematics Novel Approaches or Treatments for Spasticity Management After Botulinum Injection Bascuñana-Ambrós, Helena Nadal-Castells, Mª Josep Ramírez-Mirabal, Eliot Beranuy-Rodriguez, Marta Pintor-Ojeda, Alberto Perrot-González, Jean-Claude Front Rehabil Sci Rehabilitation Sciences There is a strong recommendation for the use of intramuscular botulinum toxin in patients with persistent or progressive spasticity affecting one or more joints and who have an identifiable therapeutic target. After a botulinum toxin injection, a stretching intervention improves the results of the treatment, and it should be performed by patients and/or caregivers after being trained by a therapist. Adherence to this recommendation remains low once the therapist stops following the patient. The COVID-19 pandemic has increased the use of telemedicine with different approaches to treat patients. There has been an increased use of motivational applications, with virtual reality software and real-life videos, which provide a gaming experience that increases adherence. There are programs with synchronous telehealth exercises guided by physical therapists or software with sensor-based technology that shows the range of motion (ROM) and strength of the muscles of a particular joint. These new approaches to patient follow-up appear to increase adherence to exercise because they need to be “watched and controlled” is achieved. Frontiers Media S.A. 2021-09-06 /pmc/articles/PMC9397790/ /pubmed/36188770 http://dx.doi.org/10.3389/fresc.2021.720505 Text en Copyright © 2021 Bascuñana-Ambrós, Nadal-Castells, Ramírez-Mirabal, Beranuy-Rodriguez, Pintor-Ojeda and Perrot-González. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Bascuñana-Ambrós, Helena
Nadal-Castells, Mª Josep
Ramírez-Mirabal, Eliot
Beranuy-Rodriguez, Marta
Pintor-Ojeda, Alberto
Perrot-González, Jean-Claude
Emerging Concepts and Evidence in Telematics Novel Approaches or Treatments for Spasticity Management After Botulinum Injection
title Emerging Concepts and Evidence in Telematics Novel Approaches or Treatments for Spasticity Management After Botulinum Injection
title_full Emerging Concepts and Evidence in Telematics Novel Approaches or Treatments for Spasticity Management After Botulinum Injection
title_fullStr Emerging Concepts and Evidence in Telematics Novel Approaches or Treatments for Spasticity Management After Botulinum Injection
title_full_unstemmed Emerging Concepts and Evidence in Telematics Novel Approaches or Treatments for Spasticity Management After Botulinum Injection
title_short Emerging Concepts and Evidence in Telematics Novel Approaches or Treatments for Spasticity Management After Botulinum Injection
title_sort emerging concepts and evidence in telematics novel approaches or treatments for spasticity management after botulinum injection
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397790/
https://www.ncbi.nlm.nih.gov/pubmed/36188770
http://dx.doi.org/10.3389/fresc.2021.720505
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