Document Detail

Upper limb spasticity reduction following active training: a robot-mediated study in patients with chronic hemiparesis.
MedLine Citation:
PMID:  20411224     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the effects on spasticity of 2 robot-mediated therapies in patients with chronic hemiparesis.
DESIGN: Groups comparison.
SUBJECTS: Thirty-four patients, divided into 2 homogeneous groups.
METHODS: Outcome measures were: motor status score, Modified Ashworth scale, and range of motion. A pattern of reaching exercises was implemented, in which the direction and length of the movements were modified with the aim of reducing activity of the flexor muscles and improving extension of the arm. A 3-month follow-up was performed.
RESULTS: Statistically significant improvements were found in both groups after treatment. Some differences were found in elbow motor improvement between the 2 groups.
CONCLUSION: Comparison between groups confirms that active movement training does not result in increased hypertonia, but results in spasticity reduction in antagonist muscles by activating the reciprocal inhibition mechanism. Furthermore, robot-mediated therapy contributes to a decrease in motor impairment of the upper limbs in subjects with chronic hemiparesis, resulting in a reduction in shoulder pain.
Federico Posteraro; Stefano Mazzoleni; Sara Aliboni; Benedetta Cesqui; Alessandro Battaglia; Maria Chiara Carrozza; Paolo Dario; Silvestro Micera
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  42     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-22     Completed Date:  2010-04-30     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  279-81     Citation Subset:  IM    
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MeSH Terms
Chronic Disease
Exercise Therapy / instrumentation,  methods*
Follow-Up Studies
Middle Aged
Muscle Spasticity
Paresis / physiopathology,  rehabilitation*
Treatment Outcome
Upper Extremity / physiopathology*

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