Objective: Spasticity is a speed-dependent increase in muscle tone
associated with stiffness, enhanced osteotendinous reflexes, paresis, loss of
fine motor control, and increased fatigue. The neural insult it self causes
paresis, and the consequent immobilization of the paretic part of the body
can cause adaptive shortening ofthe muscles and joint contractures. Infiltrative treatment with botulinum toxin typeA (BTX-A ) is effective, safe
and with few side effects. Methods: 10 patients after different years of treatment with BTX-A of the brachial biceps (BB100U) and superficial flexor ofthe fingers (FSD 100U), show ed no clinical and instrumental efficacy; The functional benefit obtained in patients.
is related to the evaluation of muscle changes evolved in spasticity and to
the study of a treatment to prevent these changes
