Article

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.

Langue : ANGLAIS