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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

Early diagnosis of heterotopic ossification among patients admitted to a neurological post intensive care rehabilitation unit.
CONCLUSIONS: HO is a sub-acute complication which develops in patients admitted to ICU for severe central nervous system disorders as clinical suspicion or radiological confirmation of diagnosis was made within the first week after admission in neurological PICRU (i.e. 6 to 8 weeks after ICU admission). CLINICAL REHABILITATION IMPACT: As treatment for HO may at least partially improves rehabilitation and quality of life, we recommend a systematic screening in PICRU patients for HO by clinical examination supplemented by imaging in case of suspicion. PMID: 33448758 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - January 15, 2021 Category: Rehabilitation Authors: Carpentier VT, Salga M, Gatin L, GenÊt F, Paquereau J Tags: Eur J Phys Rehabil Med Source Type: research

Acetic Acid Iontophoresis in The Management Of Heterotopic Ossification in an Individual Post-Stroke: A Case Report
To determine if 2% acetic acid iontophoresis (transdermal application of medication by voltage gradient on skin) reduces pain and increases passive range of motion (PROM) and functional mobility in an individual with heterotopic ossification (HO) following stroke.
Source: Archives of Physical Medicine and Rehabilitation - October 24, 2020 Category: Rehabilitation Authors: Allison Harris, Lauren Greenfeld Tags: Research Poster Source Type: research

Effect of kinesio taping on hemiplegic shoulder pain: A systematic review and meta-analysis of randomized controlled trials.
CONCLUSION: This meta-analysis suggests a beneficial effect of kinesio taping for reducing shoulder subluxation, improving motor function of the upper limb and activities of daily living in patients with hemiplegic shoulder pain post-intervention, which could not be interpreted simply as a placebo effect. And it was associated with reduced pain for patients with chronic stroke. PMID: 33063559 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - October 16, 2020 Category: Rehabilitation Authors: Deng P, Zhao Z, Zhang S, Xiao T, Li Y Tags: Clin Rehabil Source Type: research

Central pain syndromes.
Authors: Hassaballa D, Harvey RL Abstract The management of pain in persons with neurological injuries is challenging and complex. A holistic view and clinical approach are necessary when addressing pain in patients with neurological impairment because interpreting signs and symptoms and deciphering sources of pain is never a straightforward process. This problem is further magnified with the management of central pain syndromes. The best approach is to have a good understanding of the clinical characteristics commonly found in this patient population, in particular for patients with stroke, multiple sclerosis (MS)...
Source: NeuroRehabilitation - September 29, 2020 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

The effects of hemiplegic shoulder pain on upper extremity motor function and proprioception.
CONCLUSIONS: Presence of HSP is one of the main determinators of upper extremity motor function level and proprioceptive ability at different angles. Management of HSP can make a significant contribution to sensorimotor integration by leading to recovery in the motor function and proprioceptive acuity. PMID: 32508338 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - June 10, 2020 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Prevalence of upper-limb spasticity and its impact on care among nursing home residents with prior stroke.
CONCLUSIONS: A high proportion (70%) of nursing home residents with stroke demonstrated upper-limb spasticity, associated with pain and passive care difficulties. These data suggest there is an unmet need for spasticity management among nursing-home residents. Implications for rehabilitation Upper-limb spasticity is prevalent among nursing home residents with prior stroke; here, observed in 70% of cases. Spasticity was associated with increased pain and more difficult passive limb care in this population. There is an unmet need for spasticity management among nursing home residents with prior stroke. Efforts should be made...
Source: Disability and Rehabilitation - March 30, 2019 Category: Rehabilitation Authors: Shiner CT, Vratsistas-Curto A, Bramah V, Faux SG, Watanabe Y Tags: Disabil Rehabil Source Type: research

The three-dimensional shoulder pain alignment (3D-SPA) mobilization improves pain-free shoulder range, functional reach and sleep following stroke: a pilot randomized control trial.
CONCLUSIONS: The Three-Dimensional Shoulder Pain Alignment mobilization protocol significantly improved pain-free range of motion, functional reach and pain during sleep in shoulders with moderate/severe post-stroke upper-extremity impairment. Implications for rehabilitation Although three-dimensional clavicular/scapular/humeral rotations are an essential component of normal pain-free shoulder range of motion, current guidelines for treatment of post-stroke shoulder pain only includes uni-dimensional mobilizations for joint alignment and pain management. The Three-Dimensional Shoulder Pain Alignment (3D-SPA) mobilization p...
Source: Disability and Rehabilitation - March 22, 2019 Category: Rehabilitation Authors: Pain LAM, Baker R, Sohail QZ, Hebert D, Zabjek K, Richardson D, Agur AMR Tags: Disabil Rehabil Source Type: research

Electrical Stimulation in the Treatment of Hemiplegic Shoulder Pain: A Meta-Analysis of Randomized Controlled Trials
Conclusions Electrical stimulation may be an effective pain management methodology for hemiplegic shoulders and may contribute to pain-free range of external rotation as well as activities of daily living recovery. However, these results should be interpreted with caution, given the low number of selected studies and risk of potential bias.
Source: American Journal of Physical Medicine and Rehabilitation - March 21, 2019 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Passive accessory joint mobilization in the multimodal management of chronic dysesthesia following thalamic stroke.
CONCLUSION: Manual therapy may be a beneficial intervention in management of thalamic stroke-related dysesthesia. Implications for Rehabilitation While pain is common following thalamic stroke, patients may present with chronic paresthesia or dysesthesia, often in a hemisensory distribution. Passive movement may promote inhibition of hyperexcitable cortical pathways, which may diminish aberrant sensations. Passive oscillatory manual therapy may be an effective way to treat sensory disturbances such as paresthesias or dysesthesia. PMID: 29557687 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - March 20, 2018 Category: Rehabilitation Authors: Griffin K, O'Hearn M, Franck CC, Courtney CA Tags: Disabil Rehabil Source Type: research

Upper-limb sensory impairments after stroke: Self-reported experiences of daily life and rehabilitation.
CONCLUSION: Stroke survivors perceive that sensory impairment of the upper limb has a highly negative impact on daily life, but specific rehabilitation for the upper limb is lacking. These findings imply that the clinical management of upper limb sensory impairment after stroke requires more attention. PMID: 29068038 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - October 29, 2017 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

BYMTOX: An observational study to consider the association of botulinum toxin and self-management program by serious game for post-stroke patients at the chronic phase
Discussion – conclusion Despite encouraging outcomes, high rate of withdrawal makes us wonder about program's relevance, regarding intensity and patients’ profile. Concerning patients who left the program, initial mobility was 47% lower than for those who finished the study. As 4 patients in booklet group and 6 in serious game group have finished and regarding results, it may do not question the interest of this new medium. Obviously, further studies must be conduct.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Study regarding the effectiveness of extracorporeal shock wave therapy on spasticity
Discussion – conclusion The limits of the study are given by the small number of patients included, a lack of a medium and long-term assessment of the therapeutic effect evaluation and the absence of a placebo controlled group.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Uses of Electrical Stimulation for the Rehabilitation of People with Multiple Sclerosis: A Review
AbstractPurpose of ReviewThe aim of this review is to summarize the literature regarding use of electrical stimulation in the rehabilitation of people with multiple sclerosis (MS).Recent FindingsWhile significant work has been done to study the effect of electrical stimulation in stroke and spinal cord injury, few studies have looked at degenerative diseases including MS.SummaryTo date, limited high-quality evidence is available to demonstrate definitive benefits of electrical stimulation. This review considers the potential benefits of electrical stimulation for the management of foot drop, pain, spasticity, weakness, and...
Source: Current Physical Medicine and Rehabilitation Reports - July 25, 2017 Category: Rehabilitation Source Type: research

Practice patterns for spasticity management with phenol neurolysis.
CONCLUSION: Phenol neurolysis is currently used to reduce spasticity for various functional goals, including preventing contractures and improving gait. Depending on the pattern of spasticity displayed, numerous peripheral nerves in the upper and lower extremities can be targeted for treatment with phenol neurolysis. Further research into its role in spasticity management, including studies exploring its cost-effectiveness and pharmacological and side-effects compared with other treatment options are needed. PMID: 28537343 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - May 26, 2017 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

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