Article

OBJECTIVES: Evaluate upper limb performance in adults receiving botulinum toxin-A
injections for upper limb spasticity using Dynamic Computerised Hand Dynamometry
and current clinical measures. DESIGN: Pre-test/post-test clinical intervention
study. Subjects/Patients: Twenty-eight participants with spasticity following
acquired brain injury. METHODS: Botulinum toxin-A effects were measured 4 weeks
post-injection using Dynamic Computerised Dynamometry. Current clinical upper
limb performance measures spanning the International Classification of
Functioning, Disability and Health domains were also conducted at the Body
Function and Structure (Modified Ashworth Scale; Tardieu Scale) and Activity
(Action Research Arm Test; Goal Attainment Scaling; patient disability and carer
burden scales) domains. Dynamic Computerised Dynamometry hand performance
measures were correlated with performance on current clinical measures. RESULTS:
Significant post botulinum toxin-A changes were identified on current clinical
measures and the Dynamic Computerised Dynamometry. Dynamic Computerised
Dynamometry results correlated with current clinical measures demonstrating
functional upper limb change across the Body Function and Structure and Activity
domains. CONCLUSION: Dynamic Computerised Dynamometry sensitively assesses the
effects of botulinum toxin-A on upper limb spasticity during a simple,
functionally based, grasp and release task. Unlike current measures, the Dynamic
Computerised Dynamometry provides information across the Body Function and
Structure and Activity domains of the International Classification of Function.

Langue : ANGLAIS