This retrospective study will be conducted by reviewing the medical records of hemiplegic patients who received botulinum toxin treatment between 2017 and 2020 at the Physical Medicine and Rehabilitation outpatient clinic of Istanbul Physical Medicine and Rehabilitation Training and Research Hospital. A total of 35 hemiplegic patients who underwent botulinum toxin injection and had at least two follow-up records (with a 6-month interval) will be included. Sociodemographic and clinical data, stroke-related characteristics, botulinum toxin dosage, injected muscle groups, medications, and comorbidities will be recorded. Functional assessments, including the Functional Independence Measure (FIM) and Brunnstrom stage, as well as spasticity evaluations using the Modified Ashworth Scale and the Global Spasticity Index, will be obtained from patient files.
Eligibility
Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria:
* Aged between 18 and 75 years, clinically diagnosed with hemiplegia
* Received botulinum toxin injection for upper and/or lower extremity spasticity
* Availability of recorded data for two time points, including the Functional Independence Measure (FIM), Brunnstrom stage, Modified Ashworth Scale (MAS), Global Spasticity Index (GSI)
* Documentation of injected muscles and total administered botulinum toxin dosage
Exclusion Criteria:
* Missing essential data (e.g., absence of FIM, MAS, GSI, or GAS at either visit)
* Major interventions during the follow-up period such as surgery or initiation of intrathecal baclofen pump therapy
* Severe concomitant neurological disorders (e.g., progressive neurodegenerative diseases) that interfere with assessment
Primary outcome measure(s)
Change in Spasticity Severity: — Baseline Evaluated using the Modified Ashworth Scale (MAS) before and after botulinum toxin treatment. A decrease in MAS scores indicates a reduction in muscle tone and improved spasticity control.
Trial sites (1)
Facility
City
Region
Status
İstanbul Physical Medicine and Rehabilitation Research and Training Hospital
Istanbul
Bahcelievler
Recruiting
More Istanbul Physical Medicine Rehabilitation Training and Research Hospital trials in Turkey
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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