Stroke With Hemiparesis Clinical Trial
Official title:
Botulinum Toxin Type A Therapy as a Plasticity Inducing Agent for Recovery of Hand Function After Stroke
The purpose of this study is to determine whether injections of botulinum toxin (commonly known as BOTOX®) into the affected hand of Stroke patients, while targeting the muscles controlling the hand, will lead to improved use of the hand when compared to injections of placebo (a substance that looks similar to the study drug but contains no active study medication).
Hemiparesis is the most common motor impairment after stroke that frequently leads to
persistent deficits in hand function. This study investigates whether the application of
botulinum toxin to a set of synergistically-acting hand muscles, in conjunction with
task-specific therapy, will lead to reorganization and improved motor function in the
stroke-involved hand. The investigators will use objective psychophysical measures of hand
function and hand function rating scales to investigate if Botox in conjunction with
task-specific therapy will lead to:
- improved motor execution,
- improved motor planning during a psychophysical two-finger grasping and lifting task
with varying object weight, and
- increased hand function as assessed by the time taken to complete fine motor tasks.
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