Long-term follow-up of botulinum toxin therapy for focal hand dystonia: Outcome at 10 years or more

Erinsville - David's hands at work

Image by whyswomen via Flickr

In the February edition of Movement disorders http://bit.ly/dFTO4n Dr. Codrin Lungu and his team from Beth Israel Deaconess Medical Center Boston USA report on a retrospective study to assess the efficacy and safety of botulinum neurotoxin (BoNT) treatment for Focal hand dystonia (FHD). The group show that BoNT therapy for FHD remains safe and effective after more than a decade of treatment even though the dose of botulinum toxin needed to be increased.

An experienced occupational and physical therapist can reduce spasticity during patient treatments. When the patient has reduced tone they need to improve their level of sensory motor movement ability through intensive isolated and coordinated task practice. When the tone returns post treatment session the patient can continue doing functional tasks and maintain the improved movement ability. The HandTutor, ArmTutor and LegTutor systems allow the patient to do intensive active exercise practice during treatment sessions and have been shown to sustain patient functional improvement post intervention.

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