From 9 months ago I had a ischaemic brain stroke and my treatment is in Rayong Bangkok Hospital. I have till now heavy Spasticity in my left shoulder.

Now I want to ask for Botulinum toxin type A (Dysport®), because I have just found this in Internet:

http://clinicaltrials.gov/ct2/show/NCT0023...3ATH&rank=2

The study you mention does not seem to have published its resulkts yet. However there have been many prior studies using Botulinum Toxin Type A and these indicate that it is helpful in treating upper limb spasticity after stroke. It is especially effective when combined with electrical stimulation, see this article for references http://www.medscape.com/viewarticle/524042_4

It is being used at the Bangkok Hospital Neuroscience Center, altho with the Botox rather than Dysport brand (Botox is also Botulinum toxin Type A), see this link, which also has their email: http://www.bangkokhospital.com/eng/BOTOX.aspx

You could also try this doctor at Bumrungrad:

Dr. Oraporn Sitburana

Speciality: Neurology (Nerve)

Language: Spoken : English,Thai

Qualifications:

- M.D., Siriraj Hospital, Mahidol University, Thailand 1988

Board Certifications :

- Diplomate of the American Board of Neurology, 2005

- Diplomate of the American Board of Vascular Neurology, 2006

Fellowships :

- Vascular Neurology, 2004-2005

- Movement Disorder, 2005-2007

Special Clinical Training :

- Neurology, Vascular Neurology, movement disorder

Special Clinical Interests :

- Botulinum toxin injection, deep brain stimulation

Either way it will require a trip(s) to Bangkok but I think probably well worth it.

Good luck!