Occurrence and Temporal Evolution of Upper Limb Spasticity in Stroke Patients Admitted to a Rehabilitation Unit

2012 ◽  
Vol 93 (1) ◽  
pp. 143-148 ◽  
Author(s):  
Keng H. Kong ◽  
Jeanette Lee ◽  
Karen S. Chua
Keyword(s):  
Upper Limb ◽  
Temporal Evolution ◽  
Stroke Patients ◽  
Rehabilitation Unit ◽  
Limb Spasticity

scholarly journals Use of botulinum toxin in stroke patients with severe upper limb spasticity.

1996 ◽  
Vol 61 (1) ◽  
pp. 30-35 ◽  
Author(s):  
B B Bhakta ◽  
J A Cozens ◽  
J M Bamford ◽  
M A Chamberlain
Keyword(s):  
Botulinum Toxin ◽  
Upper Limb ◽  
Stroke Patients ◽  
Limb Spasticity

Investigation of the effects of mirror therapy on the spasticity, motor function and functionality of impaired upper limbs in chronic stroke patients

2019 ◽  
Vol 26 (7) ◽  
pp. 1-9
Author(s):  
Luciana Protásio de Melo ◽  
Valton da Silva Costa ◽  
Júlio César Cunha da Silveira ◽  
Tatiana Catarina Albuquerque Clementino
Keyword(s):  
Motor Function ◽  
Upper Limb ◽  
Functional Independence ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Number Of Patients ◽  
Limb Spasticity ◽  
Hemiparetic Stroke ◽  
Chronic Hemiparetic Stroke ◽  
The Impact

Background/Aims Strokes lead to different levels of disability. During the chronic stage, hemiparesis, spasticity and motor deficits may cause loss of functional independence. Mirror therapy aims to reduce deficits and increase functional recovery of the impaired upper limb. This study aimed to evaluate the effects of mirror therapy on upper limb spasticity and motor function, as well as its impact on functional independence in chronic hemiparetic patients. Methods In this quasi-experimental study, eight chronic hemiparetic patients (age 55.5 ± 10.8 years) were assessed to determine their degree of spasticity (Modified Ashworth Scale), level of upper limb motor function (Fugl-Meyer Assessment) and functionality (Functional Independence Measure). All participants received 12 sessions of mirror therapy delivered three times per week, over a period of 4 weeks. Participants were re-evaluated post-intervention and these results were compared to their pre-intervention scores to determine the impact of mirror therapy. Results A decrease in spasticity was observed, with significant improvements in shoulder extensors (P=0.033) and a significant increase in motor function (P=0.002). The therapeutic protocol adopted did not have a significant effect on functional independence (P=0.105). Conclusions Mirror therapy led to improvements in upper limb spasticity and motor function in chronic hemiparetic stroke patients. No effects on functional independence were observed. Further research with a larger number of patients is needed to provide more robust evidence of the benefits of mirror therapy in chronic hemiparetic stroke patients.

scholarly journals Extracorporeal shock wave as adjuvant therapy for wrist and hand spasticity in post-stroke patients: a randomized controlled trial

2021 ◽  
Vol 48 (1) ◽  
Author(s):  
Samar Abd Alhamed Tabra ◽  
Mohammad Ibrahim Zaghloul ◽  
Doaa Shawky Alashkar
Keyword(s):  
Shock Wave ◽  
Upper Limb ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Stroke Patients ◽  
Extracorporeal Shock Wave ◽  
Group I ◽  
Limb Spasticity ◽  
Group Ii

Abstract Background Stroke patients often present with upper limb spasticity which impairs the functional status of patients. Recently, extracorporeal shock wave therapy (ESWT) is reported to be a safe, non-invasive, alternative treatment for spasticity. Many articles have been published on the effect of ESWT on lower limb spasticity, but only few of them had focused on upper limb spasticity, so the aim of this study is to evaluate the clinical and electrophysiological effect of ESWT on wrist and hand spasticity of chronic stroke patients and its impact on functional performance. In this monocentric study, forty chronic stroke patients with upper limb spasticity were recruited and randomly allocated into two groups. Both groups continued to receive conventional stroke rehabilitative program, while group I received three sessions of radial extracorporeal shock wave therapy (rESWT) 1 week apart. Results There was a significant decrease in wrist and hand spasticity after treatment and at follow-up in group I compared to group II (Modified Ashworth Scale after rESWT 1.45 ± 0.16, 2.90 ± 0.18 and follow-up 1.55 ± 0.13, 3.00 ± .0.15 in groups I and II, respectively). Also, there was a significant improvement of wrist control and hand function after treatment and at follow-up in group I compared to group II (p < 0.001). The improvement of pinch grip was noticed at follow-up with a significant difference relative to baseline in group I (p < 0.05). Hmax/Mmax ratio was significantly decreased at follow-up in group I compared to group II (p < 0.001). Conclusion ESWT is a valuable adjuvant treatment for spasticity of the hand and wrist in stroke patients which is reflected as improvement of functional activity. Trial registration ClinicalTrials.gov, NCT04312581. Registered on 18 March 2020.

scholarly journals Assessment of upper limb spasticity in stroke patients using the robotic device REAplan

2017 ◽  
Vol 49 (7) ◽  
pp. 565-571 ◽  
Author(s):  
S Dehem ◽  
M Gilliaux ◽  
T Lejeune ◽  
C Detrembleur ◽  
D Galinski ◽  
...  
Keyword(s):  
Upper Limb ◽  
Robotic Device ◽  
Stroke Patients ◽  
Limb Spasticity

scholarly journals Association between Severe Upper Limb Spasticity and Brain Lesion Location in Stroke Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Alessandro Picelli ◽  
Stefano Tamburin ◽  
Francesca Gajofatto ◽  
Giampietro Zanette ◽  
Marialuigia Praitano ◽  
...  
Keyword(s):  
White Matter ◽  
Upper Limb ◽  
Brain Lesion ◽  
Mapping Method ◽  
Thalamic Nuclei ◽  
Stroke Patients ◽  
Lesion Location ◽  
Modified Ashworth Scale ◽  
Limb Spasticity ◽  
Ashworth Scale

Association between the site of brain injury and poststroke spasticity is poorly understood. The present study investigated whether lesion analysis could document brain regions associated with the development of severe upper limb poststroke spasticity. A retrospective analysis was conducted on 39 chronic stroke patients. Spasticity was assessed at the affected upper limb with the modified Ashworth scale (shoulder, elbow, wrist, and fingers). Brain lesions were traced from magnetic resonance imaging performed within the first 7 days after stroke and region of interest images were generated. The association between severe upper limb spasticity (modified Ashworth scale ≥2) and lesion location was determined with the voxel-based lesion-symptom mapping method implemented in MRIcro software. Colored maps representing thezstatistics were generated and overlaid onto the automated anatomical labeling and the Johns Hopkins University white matter templates provided with MRIcron. Thalamic nuclei were identified with the Talairach Daemon software. Injuries to the insula, the thalamus, the basal ganglia, and white matter tracts (internal capsule, corona radiata, external capsule, and superior longitudinal fasciculus) were significantly associated with severe upper limb poststroke spasticity. Further advances in our understanding of the neural correlates of spasticity may lead to early targeted rehabilitation when key regions are damaged.

Sign in / Sign up

Export Citation Format

Share Document