• Movement Disorders
• Traumatic Brain Injury
• Mild Traumatic Brain Injury
• Botox as a Form of Treatment
• Useful Links

Movement Disorders

Are conditions that originate in areas deep within the brain. They are caused by changes to specific regions of the brain and nervous system, the cause of which is mostly unknown. These special areas, which control movement, send chemical messages to other parts of the brain. These signals set off a chain of events that eventually result in movement of muscles. In people with a movement disorder, this communication system is disrupted and interferes with the ability to produce and coordinate voluntary movements or the inability to stop unwanted involuntary movements.

Common movement disorders:

Essential Tremor

Involuntary, rhythmic shaking of a body part

Restless Legs Syndrome

Uncomfortable sensations in the legs at rest

Ataxia

Poorly coordinated movements

Dystonia

Sustained muscle contractions, usually producing twisting and repetitive movements or painful postures or positions

Spasticity

An increase in muscle stiffness that worsens with rapid movement and may be associated with increased reflexes and weakness; associated with stroke, multiple sclerosis, cerebral palsy, and traumatic brain or spinal cord injury

Traumatic Brain Injury

A blow or jolt to the head can result in a traumatic brain injury (TBI), which can disrupt the function of the brain. Concussions, also called "closed head injuries," are a type of TBI. For more information from the National Center for Injury Prevention and Control, check out their website at www.cdc.gov/node.do/id/0900f3ec8000dbdc

Mild Traumatic Brain Injury

Mild Traumatic Brain Injury Committee of the Head Injury Interdisciplinary Special Interest Group of the American Congress of Rehabilitation Medicine (1993). Definition of mild traumatic brain injury. Journal of Head Trauma Rehabilitation, 8(3), 86-87.

Definition: A patient with mild traumatic brain injury is a person who has had a traumatically induced physiological disruption of brain function as manifested by at least one of the following:

1. any period of loss of consciousness;
2. any loss of memory for events immediately before or after the accident;
3. any alteration in mental state at the time of the accident (e.g., feeling dazed, disoriented, or confused); and
4. focal neurological deficit(s) that may or may not be transient but where the severity of the injury does not exceed the following:
   1. loss of consciousness of approximately 30 minutes or less;
   2. after 30 minutes, an initial Glasgow Coma Scale (GCS) of 13-15; and
   3. post traumatic amnesia (PTA) not greater than 24 hours.

For more information about Mild Traumatic Brain Injury, go to the Queensland Health website at http://www.health.qld.gov.au/abios/mtbi.asp

Botox as a Form of Treatment

Mild Traumatic Brain Injury Committee of the Head Injury Interdisciplinary Special Interest Group of the American Congress of Rehabilitation Medicine (1993). Definition of mild traumatic brain injury. Journal of Head Trauma Rehabilitation, 8(3), 86-87.

What is BOTOX?

BOTOX product is a purified protein complex derived from bacteria similar to the way penicillin is derived from mold.

What is the difference between BOTOX and BOTOX Cosmetic?

BOTOX and BOTOX cosmetic are identical products. BOTOX product is FDA approved for the treatment dystonia in adults to decrease the severity of abnormal head position and associated neck pain. BOTOX is now approved by the FDA as BOTOX cosmetic for the temporary reduction of moderate to severe frown lines between the brows.

Is BOTOX a new treatment?

No. BOTOX has been approved for nearly 14 years and used in over 7 million treatment sessions. BOTOX therapy is approved by the health authorities of 70 countries and has also be endorsed by the National Institues of Health since 1990.

BOTOX: Patient Assistance Program

The BOTOX Patient Assistance (BPA) program is designed to help financially needy patients who are without other sources of private, state, federal insurance or funds to pay for BOTOX (Botulinum Toxin Type A). It is a partnership between Allegran, Inc. and the National Organization for Rare Disorders (NORD)

Allergan the manufacturer of BOTOX, sponsors the program in full as part of its commitment to helping financially disadvantage patients obtain the BOTOX they need. NORD, a not-for-profit organization dedicated to the identification, treatment, and cure of rare, "orphan" diseases, is the program’s administrator.

Who’s Eligible to Participate?

• You have a legal prescription for BOTOX
• You can demonstrate financial need
• You don’t qualify for private, state, or federal medicine insurance
• You’re a citizen or permanent resident of the United States

To apply to the BOTOX Patient Assistance (BPA) program, call the BOTOX Reimbursement hotline (1-800-530-6680). Hotline staff will help you find any sources of financial support for BOTOX treatment that may be available to you.

Patient Information

Please fill out the following forms prior to your appointment date. These forms will expedite your arrival process. Please fax to (973) 324-3536 or send by mail to:

Kessler Medical Rehabilitation Research & Education
1199 Pleasant Valley Way
West Orange, NJ 07052

Attention: Elie Elovic, M.D.

Spasticity

WE MOVE™ [http://www.wemove.org]

Neurotoxin

http://www.neurotoxininstitute.com[http://www.neurotoxininstitute.com]

Traumatic Brain Injury

Brain Injury Resource Foundation [http://www.birf.info/index.shtml]

Tools For Living [http://www.livingafterbraininjury.com]

Brain Injury Association of America [http://www.biausa.org]

Traumatic Brain Injury Resource Center [http://www.braininjuryresources.org]

Shoulder Pain After Stroke? [www.StrokeShoulderPain.com]

Brain Injury Association of New Jersey [www.bianj.org]