Combined Bracing, Electrical Stimulation, and Functional Practice for Chronic, Upper-Extremity Spasticity.
OBJECTIVE. Conventional methods for managing upper-extremity (UE) spasticity are invasive, usually require readministration after a certain time period, and do not necessarily increase UE function. This study examined efficacy of combining two singularly efficacious modalities—UE bracing and electri...
| Publicado en: | American Journal of Occupational Therapy Vol. 64; no. 5; pp. 720 - 727 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
American Occupational Therapy Association
Sep/Oct2010
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105102436&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105102436 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Sep/Oct2010 vid: 64 iid: 5 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 105102436 53528008 10.5014/ajot.2010.08137 NLM21073102 105102436 ppf: 720 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Combined Bracing, Electrical Stimulation, and Functional Practice for Chronic, Upper-Extremity Spasticity. aug: au: Hardy, Kathleen Suever, Kacia Sprague, Amie Hermann, Valerie Levine, Peter Page, Stephen J. affil: Graduate Students, Master of Occupational Therapy Program, Xavier University, Cincinnati, OH sug: subj: Combined Modality Therapy Electric Stimulation Muscle Spasticity Orthoses Task Performance and Analysis Upper Extremity Activities of Daily Living Clinical Assessment Tools Female Human Pretest-Posttest Design Scales Stroke Rehabilitation Female ab: OBJECTIVE. Conventional methods for managing upper-extremity (UE) spasticity are invasive, usually require readministration after a certain time period, and do not necessarily increase UE function. This study examined efficacy of combining two singularly efficacious modalities—UE bracing and electrical stimulation—with functional training to reduce UE spasticity and improve function. METHOD. Two chronic stroke patients exhibiting UE spasticity were administered the Modified Ashworth Scale (MAS), the upper-extremity section of the Fugl-Meyer Impairment Scale (FM), the Box and Block Test (B&B), and the Arm Motor Ability Test (AMAT). They were then individually fitted for a brace and subsequently participated in treatment sessions occurring 2 days/wk for 5 wk, consisting of (1) 30-min clinical sessions, during which the UE was braced in a functional position while cyclic electrical stimulation was applied to the antagonist extensors of the tricep and forearm, and (2) 15-min, clinically based training sessions, occurring directly after the clinical session. RESULTS. After intervention, participants exhibited 1-point reductions in MAS scores for the affected fingers, FM score increases, and increased ability to perform AMAT activities,. Three months later, both participants retained these changes. CONCLUSION. Data point to a noninvasive, promising method of managing spasticity and rendering functional changes. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|