Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report.

Objective: The purpose of this study is to report a case in which combinatory therapy of botulinum toxin type A (BoNT-A) and neurodynamic mobilization (NM) was used as treatment for a patient with severe upper limb spasticity and pain after stroke.

Clinical Features: A 76-year-old male patient had spastic muscles in the upper limb 10 months after an ischemic stroke.

Intervention And Outcome: The patient underwent combined treatment with BoNT-A and NM of the upper limb in 6 monthly applications.