Article

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.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS