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    
Abstract/OtherAbstract:
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.
Authors:
Federico Posteraro; Stefano Mazzoleni; Sara Aliboni; Benedetta Cesqui; Alessandro Battaglia; Maria Chiara Carrozza; Paolo Dario; Silvestro Micera
Related Documents :
10526804 - Effects of sympathetic blockade on the efficiency of forced-air warming during combined...
6334494 - Electrical stimulation of the posterior limb of the internal capsule for treatment of t...
3941184 - Stump overgrowth in juvenile amputees.
4015364 - Improved results with diabetic below-knee amputations.
25175444 - The natural history of avm hemorrhage in the posterior fossa: comparison of hematoma vo...
15625464 - Diagnosis and treatment of combined intra-articular disorders in acute distal fibular f...
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    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Disease
Exercise Therapy / instrumentation,  methods*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Muscle Spasticity
Paresis / physiopathology,  rehabilitation*
Robotics*
Treatment Outcome
Upper Extremity / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Social support and life satisfaction in spinal cord injury during and up to one year after inpatient...
Next Document:  Multinucleate cell angiohistiocytoma.