Pain during botulinum toxin injections in spastic adults: Influence of patients’ clinical characteristics and of the procedure

The evaluation of pain during botulinum toxin (BT) injections has never been conducted in adults. Our main objective was to quantified pain perceived by individuals with a stroke, during BT injections. A second objective was to analyze clinical and technical determinants of a painful procedure. Obse...

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Bibliographic Details
Published in:Annals of physical and rehabilitation medicine 2018-07, Vol.61, p.e359-e359
Main Authors: Mathevon, L., Davoine, P., Tardy, M., Bouchet, N., Gornushkina, I., Pérennou, D.
Format: Article
Language:English
Subjects:
Botulinum toxin
Pain evaluation
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Summary:The evaluation of pain during botulinum toxin (BT) injections has never been conducted in adults. Our main objective was to quantified pain perceived by individuals with a stroke, during BT injections. A second objective was to analyze clinical and technical determinants of a painful procedure. Observational study on 46 persons (19M/27W, 60.5±16 years) evaluated without analgesia during injections of BT-A performed by 2 experts (15 years of experience each), 6.5 years after a stroke. Pain was evaluated by numeric verbal scale (0–10) after each step. Pressure hypoesthesia was assessed by Semmes–Weinstein monofilaments. The existence of chronic pain was established from a long-term intake of antalgic drugs. Following are presented in median [25 and 75th percentiles]. A total of 1288 numerical verbal scale results were analyzed. The most painful time was stimulation (4 [2.6–5.3]; P
ISSN:1877-0657
1877-0665
DOI:10.1016/j.rehab.2018.05.837