This pilot study was designed to examine the effects of short-term (48-hr) upper extremity inhibitive casting, with an encased thermoplastic splint, on problems related to upper motor neuron damage. The subject was an 8 1/2-year-old girl with left upper extremity spasticity. Three different measures were used: (a) rating of videotaped active movements of the child; (b) the Modified Ashworth Sca...

OBJECTIVE To investigate the therapeutic effect of electrical stimulation on plantarflexor spasticity in stroke patients. DESIGN A randomized controlled clinical trial study. SETTING Rehabilitation clinic of Semnan University of Medical Sciences. SUBJECTS Forty stroke patients (aged from 42 to 65 years) with ankle plantarflexor spasticity. INTERVENTION Fifteen minutes of inhibitory Boba...

AIM The aim of this study was to evaluate the efficacy and safety of radial extracorporeal shock wave therapy (rESWT) in the treatment of spasticity in patients with cerebral palsy. METHODS Fifteen patients with spastic cerebral palsy, 12 men and 3 women, aged 10-46 years (mean age 31). The 15 patients presented 40 spastic muscles that were divided in three groups using a computerized random-...

OBJECTIVE This work intended to observe the effect of injecting botolinum toxin type A (BTX-A) for relieving spastic iliopsoas of cerebral palsy on children, and to investigate the improvement of this method for the motor function in these children. PATIENTS AND METHODS From July 2006 to August 2012, 37 children with spastic iliopsoas cerebral palsy were received rehabilitation therapy. The a...

OBJECTIVE The aim of the study was to report physician experience-based "real-world" treatment patterns with botulinum toxin type A in patients with stroke and traumatic brain injury. DESIGN A prospective, multicenter, international observational registry design was used. RESULTS Six hundred twenty-seven participants with stroke and 132 participants with traumatic brain injury were assessed...

spasticity is one of the common complications in upper motor neuron lesions and without appropriate treatment it causes disturbances in movement pattern. assessments of patients are effective in patient`s management. modified ashworth scale (mas) is one of the criteria in qualitative assessment of spasticity, and there are lots of controversies about its validity. the purpose of this study is t...

OBJECTIVE To explore the effect of treatment after botulinum toxin type A combined with treatments for the spastic foot. DESIGN Single-blind, randomized trial, with 3-month follow-up. SUBJECTS Twenty-three chronic hemiplegic adult patients with spastic equinus foot. METHODS Following botulinum toxin type A injection at the medial and lateral gastrocnemius, patients were assigned randomly ...

Fetal-type Minamata disease is caused by the exposure to high concentrations of methylmercury in the fetal period and shows cerebral palsy-like clinical features. Relief of spasticity is a major task of rehabilitation to improve their activities of daily living. Here we report the effect of long-term vibration therapy on bilateral lower-limb spasticity in 3 patients with fetal-type Minamata dis...

In a double blind, placebo controlled, cross over study the correlations between single doses (2, 4, and 8 mg), plasma concentrations, and antispastic action of tizanidine were investigated in 16 patients with extensor spasticity of the legs due to multiple sclerosis. An electrogoniometer was used to assess muscle tone at knee extensors, applying Wartenberg's pendulum test. Blood samples, a cli...

BACKGROUND AND PURPOSE Spasticity (hypertonicity) is a frequent problem that can develop after stroke and can lead to a number of secondary complications, such as contractures and pain. Consequently, many rehabilitation resources are used in treating the condition and its secondary complications. At present, the clinical assessment of spasticity incorporates descriptive scales of resistance to ...