Mapping of motor-points in the flexor muscles of the arm for the optimization of botulinum toxin injections in treatment of spasticity

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Kovalenko A.P.

Kirov Military Medical Academy, St. Petersburg, Russia

Misikov V.K.

Vladimirsky Regional Research Clinical Institute, Moscow, Russia

Sinelnikov K.A.

Pokrovskaya City Hospital, St. Petersburg, Russia

Karimov A.N.

Best Clinic, Moscow, Russia

Mapping of motor-points in the flexor muscles of the arm for the optimization of botulinum toxin injections in treatment of spasticity

Authors:

Kovalenko A.P., Misikov V.K., Sinelnikov K.A., Karimov A.N.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(7): 47‑52

DOI: 10.17116/jnevro20171177147-52

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To cite this article:

Kovalenko AP, Misikov VK, Sinelnikov KA, Karimov AN. Mapping of motor-points in the flexor muscles of the arm for the optimization of botulinum toxin injections in treatment of spasticity. S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(7):47‑52. (In Russ.)
https://doi.org/10.17116/jnevro20171177147-52

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Objective. To study the location and verification of motor points (MP) of the upper limbs for targeting botulinum toxin (BT) type A injections in the treatment of spasticity. Material and methods. Twenty healthy people were examined. Using electromyography a complete study of the muscles of the upper limbs was conducted. Results. Anatomical localization of MP was performed. The location of MP is identical and does not depend on sex, age and the dominant limb. Tables and maps of MP locations are presented. Conclusion. MP in the flexor muscles of the arm were identified. A surface map with MP location was created. This data may improve the clinical efficacy and feasibility of MP targeting, when injecting BT in spasticity.

Keywords:

muscle motor point

neuromuscular junctions

intramuscular motor endpoint

map of location of motor points

spasticity

botulinum toxin type A

Authors:

Kovalenko A.P.

Kirov Military Medical Academy, St. Petersburg, Russia

Misikov V.K.

Vladimirsky Regional Research Clinical Institute, Moscow, Russia

Sinelnikov K.A.

Pokrovskaya City Hospital, St. Petersburg, Russia

Karimov A.N.

Best Clinic, Moscow, Russia

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