Related Experiment Video
Updated: Sep 11, 2025

Ultrasound-guided Botulinum Toxin-A Injections: A Method of Treating Sialorrhea
Published on: November 9, 2016
Multiple Sclerosis: Enhancing Botulinum Toxin Effects in Spasticity Management, a Systematic Review
Daniela Poenaru1, Miruna Ioana Sandulescu1, Catalin Furculescu2
1Rehabilitation Department, Carol Davila University of Medicine, 050474 Bucharest, Romania.
This review explores ways to improve botulinum toxin (BoNT) effectiveness for multiple sclerosis (MS) spasticity. Current research on adjunctive therapies like electrical stimulation and exercise in MS patients is limited, indicating a need for more studies.
Area of Science:
- Neurology
- Rehabilitation Medicine
Background:
- Multiple sclerosis (MS) frequently causes spasticity, impacting patient quality of life.
- Botulinum toxin (BoNT) injections are a common treatment for MS-related spasticity.
Purpose of the Study:
- To review modalities that enhance the neuromuscular effects of botulinum toxin (BoNT) injections in patients with multiple sclerosis (MS).
Main Methods:
- A literature review was performed.
- Studies focused on BoNT for MS spasticity and adjunctive therapies were analyzed.
Main Results:
- Few studies specifically address MS patients.
- Investigated adjunct techniques include electrical stimulation, vibration therapy, physical exercise, and extracorporeal shock wave therapy.
Conclusions:
- Current evidence on enhancing BoNT efficacy in MS spasticity is limited.
- Further research is needed for integrative therapeutic strategies tailored to MS patients.
More Related Videos
07:20Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy
Published on: August 9, 2024
08:40Isokinetic Robotic Device to Improve Test-Retest and Inter-Rater Reliability for Stretch Reflex Measurements in Stroke Patients with Spasticity
Published on: June 12, 2019
Related Concept Videos
Directly Acting Muscle Relaxants: Dantrolene and Botulinum Toxin
The binding of dantrolene to the RYR1...
Skeletal Muscle Relaxants: Therapeutic Uses
Classification of Skeletal Muscle Relaxants
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
Skeletal Muscle Relaxants: Adverse Effects
Unlike...
Spasmolytic Agents: Chemical Classification
A major class of centrally acting spasmolytics is the α2-agonist, such as tizanidine. These drugs bind to α2-adrenoceptors, inhibiting the release of the excitatory neurotransmitter glutamate. They also...
Myasthenia Gravis: Overview and Treatment
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...