Impact of Botulinum Toxin Use in Parkinson's Disease Patients: a Systematic Review
DOI:
https://doi.org/10.34024/rnc.2021.v29.11889Keywords:
Parkinson's disease, ; Botulinum Toxins Type A, Sialorrhea, Dystonia, TremorAbstract
Introduction. Botulinum Toxin (TxB) has been widely used to treat symptoms of Parkinson's disease (PD) and its efficacy and safety has been confirmed in several studies. Objective. To verify the impact of the use of botulinum toxin in patients with PD. Method. The search for scientific articles was conducted by two independent researchers in the MEDLINE (Pubmed) databases, LILACS, SciELO, SCOPUS, WEB OF SCIENCE and BIREME, without language and location restrictions, during the period from 2015 to 2020. For to complement and avoid risk bias, a search for gray literature was carried out on Google Scholar. The systematic review was conducted according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). Studies that scored ≥ 6 points according to the qualitative scoring protocol proposed by Pithon et al. Results. 97 articles with potential for inclusion were retrieved, 4 of which answered the guiding question, which consisted of verifying the impact of using TxB in patients with PD. The selected articles reported the use of BTX to treat drooling, tremor and dystonia of the feet. The use of BTX has been shown to be effective in the long term to treat drooling, dystonia of the feet and limb tremor. Conclusion. The analyzes showed that BTX has a positive impact on PD patients, being a great ally in improving the quality of life of these patients, with few side effects, most of which are mild.
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Copyright (c) 2021 Daniely Hackbarth de Souza, Laura Faustino Gonçalves, Cláudia Tiemi Mituuti, Karina Mary de Paiva , Patricia Haas

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Accepted 2021-08-23
Published 2021-09-13
