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Specialty: Rehabilitation
Condition: Motor Neurone Disease

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Total 23 results found since Jan 2013.

Effects of repetitive transcranial magnetic stimulation on lower extremity spasticity and motor function in stroke patients.
CONCLUSION: Low-frequency rTMS over the LE motor area can improve clinical measures of muscle spasticity and motor function. More studies are needed to clarify the changes underlying this improvement in spasticity. Implications for Rehabilitation Spasticity is a common disorder and one of the causes of long-term disability after stroke. Physical therapy modalities, oral medications, focal intervention and surgical procedures have been used for spasticity reduction. Beneficial effect of the repetitive transcranial magnetic stimulation (rTMS) for post-stroke upper extremity spasticity reduction and motor function improvement...
Source: Disability and Rehabilitation - February 15, 2016 Category: Rehabilitation Authors: Rastgoo M, Naghdi S, Nakhostin Ansari N, Olyaei G, Jalaei S, Forogh B, Najari H Tags: Disabil Rehabil Source Type: research

A single blind, clinical trial to investigate the effects of a single session extracorporeal shock wave therapy on wrist flexor spasticity after stroke.
CONCLUSIONS: In adult patients after stroke, a single session of active ESWT resulted in significant improvement in the wrist flexor spasticity and alpha motor neuron excitability. PMID: 25547767 [PubMed - indexed for MEDLINE]
Source: NeuroRehabilitation - January 25, 2016 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

A single group, pretest-posttest clinical trial for the effects of dry needling on wrist flexors spasticity after stroke.
CONCLUSIONS: This study suggests that DN reduced wrist flexors spasticity and alpha motor neuron excitability in patients with stroke, and improvements persisted for one hour after DN. PMID: 28222554 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - February 24, 2017 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

A single blind, clinical trial to investigate the effects of a single session extracorporeal shock wave therapy on wrist flexor spasticity after stroke
CONCLUSIONS: In adult patients after stroke, a single session of active ESWT resulted in significant improvement in the wrist flexor spasticity and alpha motor neuron excitability. Content Type Journal ArticlePages -DOI 10.3233/NRE-141193Authors Seyedeh Somayeh Daliri, Department of Physical Medicine and Rehabilitation, School of Medicine, Iran University of Medical Sciences, Tehran, IranBijan Forogh, Department of Physical Medicine and Rehabilitation, School of Medicine, Iran University of Medical Sciences, Tehran, IranSeyedeh Zahra, Department of Physical Medicine and Rehabilitation, School of Medicine, Iran Universit...
Source: NeuroRehabilitation - December 29, 2014 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Tone-inhibiting insoles enhance the reciprocal inhibition of ankle plantarflexors of post-stroke hemiparetic subjects: an electromyographic study
Conclusion Tone-inhibiting insoles enhanced RI of the soleus in post-stroke subjects, which might enhance standing stability by reducing unfavorable ankle plantarflexion tone.
Source: PMandR - July 20, 2017 Category: Rehabilitation Source Type: research

Tone-Inhibiting Insoles Enhance the Reciprocal Inhibition of Ankle Plantarflexors of Subjects With Hemiparesis After Stroke: An Electromyographic Study
Conclusion Tone-inhibiting insoles enhanced RI of the soleus in subjects after stroke, which might enhance standing stability by reducing unfavorable ankle plantarflexion tone. Level of Evidence To be determined
Source: PMandR - August 8, 2017 Category: Rehabilitation Source Type: research

Managing upper extremity clonus with intramuscular botulinum toxin-A injections in a patient post-stroke
Spasticity and clonus are common clinical signs of upper motor neuron lesions post-stroke. Intramuscular botulinum toxin-A injections have been shown to reduce spasticity and improve quality of life. Upper extremity clonus can have a significant impact upon activities of daily living and can pose challenges to comfort, self-care, hygiene, and appearance. Although less common than in ankle, it is important to understand how upper extremity clonus management may be beneficial to patients presenting with this finding.
Source: PM and R - October 31, 2014 Category: Rehabilitation Authors: Adam Kassam, Chetan P. Phadke, Farooq Ismail, Chris Boulias Source Type: research

Predictors of Spasticity After Stroke
Abstract Purpose of Review Spasticity is a part of the upper motor neuron syndrome and can result in reduced function. Reduction of the complications may be facilitated by early intervention, making identification of stroke patients at high risk for developing spasticity essential. Recent Finding Different predictors of poststroke spasticity (PSS) have been suggested in different studies, including development of increased muscle tone, greater severity of paresis, sensory impairment, and low Barthel Index score. The results also indicate that early identification of factors predictive of PSS is beneficial. Summary ...
Source: Current Physical Medicine and Rehabilitation Reports - July 21, 2016 Category: Rehabilitation Source Type: research

Effect of post-stroke spasticity on voluntary movement of the upper limb
Hemiparesis following stroke is often accompanied by spasticity. Spasticity is one factor among the multiple components of the upper motor neuron syndrome that contributes to movement impairment. However, the ...
Source: Journal of NeuroEngineering and Rehabilitation - May 13, 2021 Category: Rehabilitation Authors: Hadar Lackritz, Yisrael Parmet, Silvi Frenkel-Toledo, Melanie C. Bani ña, Nachum Soroker, John M. Solomon, Dario G. Liebermann, Mindy F. Levin and Sigal Berman Tags: Research Source Type: research

Technologically-advanced assessment of upper-limb spasticity: a pilot study.
CONCLUSIONS: By using the robotic device some spasticity parameters can be continuously recorded during the rehabilitation treatment in order to objectively measure the effectiveness of the interventions provided. CLINICAL REHABILITATION IMPACT: The standardized evaluation parameters recorded using robotic devices may provide several advantages: 1) the measures for spasticity assessment can be monitored during every rehabilitation session (even during each movement), 2) these measurements are able to highlight even small changes, 3) the recovery plateau can be detected early thus avoiding further rehabilitation sessio...
Source: European Journal of Physical and Rehabilitation Medicine - September 4, 2017 Category: Rehabilitation Authors: Posteraro F, Crea S, Mazzoleni S, Berteanu M, Ciobanu I, Vitiello N, Cempini M, Gervasio S, Mrachacz-Kersting N Tags: Eur J Phys Rehabil Med Source Type: research

Prevalence and Treatment Characteristics of Spastic Hypertonia on First-Time Admission to Acute Inpatient Rehabilitation
Conclusions Spasticity is a common sequela of upper motor neuron injury for patients admitted to inpatient rehabilitation. Early recognition and management are essential to prevent contractures, minimize pain, and maximize functional recovery.
Source: American Journal of Physical Medicine and Rehabilitation - March 23, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Does acupuncture help patients with spasticity? A narrative review
Publication date: Available online 5 November 2018Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Yi Zhu, Yujie Yang, Jianan LiAbstractSpasticity is a motor disorder encountered after upper motor neuron lesions. It adversely affects quality of life in most patients and causes long-term burden of care and has significant financial implications. The effect of conventional therapies for spasticity including physical therapy, surgery, and pharmacotherapy are not always satisfying because of the short-term effects or side effects in some patients. Acupuncture is a part of traditional medicine originating from C...
Source: Annals of Physical and Rehabilitation Medicine - November 6, 2018 Category: Rehabilitation Source Type: research

How to measure fatigue in neurological conditions? A systematic review of psychometric properties and clinical utility of measures used so far.
Conclusion:Although many measures of fatigue in neurological conditions have published, none met all of the criteria for psychometric robustness and clinical utility but the Neurological Fatigue Indices are the best and can be used with caution. PMID: 24519920 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - February 11, 2014 Category: Rehabilitation Authors: Tyson SF, Brown P Tags: Clin Rehabil Source Type: research

Spasticity Video Challenge: A Look at Methods for Addressing Difficult Cases
As seen in this CME online activity (available at http://courses.elseviercme.com/spasticity/662e), treatment of patients with spasticity due to upper motor neuron syndromes, including traumatic brain injury, stroke, and cerebral palsy, is multifaceted, involving chemodenervation, systemic medications, surgical therapy, rehabilitation efforts, and home care. Optimal care begins with the recognition that each patient ’s impairments are unique and must be assessed carefully to determine the impact of muscle overactivity, loss of dexterity, and weakness on passive and active function in the context of the patients’ goals.
Source: PM and R - June 17, 2017 Category: Rehabilitation Authors: Katharine E. Alter, Mark Gormley, Atul T. Patel Source Type: research