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Titre : | Measuring Spasticity and Fine Motor Control (Pinch) Change in the Hand After Botulinum Toxin-A Injection Using Dynamic Computerized Hand Dynamometry (2014) |
Auteurs : | Hannah L. Holman Barden ; Ian James Baguley ; Melissa Therese Nott |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/12, 2014) |
Article en page(s) : | p. 2402-2409 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adulte (19-44 ans) ; Membre supérieur ; Rééducation et réadaptation |
Mots-clés: | Adult ; Muscle spasticity ; Spasticité musculaire ; Muscle strength dynamometer ; Dynamomètre pour la mesure de la force musculaire ; Pinch strength ; Force de la pince digitale ; Upper Extremity |
Résumé : |
Objectives To evaluate change in fine motor hand performance and to investigate the relationship between existing clinical measures and dynamic computerized dynamometry (DCD) after botulinum toxin-A (BTX-A) injections for adults with upper limb spasticity. Design Pretest/posttest clinical intervention study. Setting Hospital outpatient spasticity clinics. Participants A convenience sample of adults (N=28; mean age, 51y) with upper limb spasticity after acquired brain injury. Interventions BTX-A injections for upper limb spasticity management. Main Outcome Measures DCD protocol using a piezoelectric pinch meter (termed DCD[pinch]); current clinical upper limb measures: Modified Ashworth Scale, Tardieu Scale, Action Research Arm Test, Michigan Hand Outcomes Questionnaire, and Goal Attainment Scale. Results BTX-A produced a significant change on DCD(pinch) and some current clinical measures, with correlations observed between DCD(pinch) and current clinical measures. Conclusions DCD(pinch) sensitively and objectively assessed the effects of BTX-A on upper limb spasticity during a simulated functionally based pinch and release task. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314004122 |