Abstract
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.
Keywords
List of abbreviations:
ABI (acquired brain injury), ADL (activities of daily living), ARAT (Action Research Arm Test), BTX-A (botulinum toxin-A), DCD (dynamic computerized dynamometry), GAS (Goal Attainment Scale), ICF (International Classification of Functioning, Disability and Health), MAS (Modified Ashworth Scale), MHQ (Michigan Hand Outcomes Questionnaire), UMN (upper motor neuron)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: June 05, 2014
Footnotes
This article is derived from data collected as part of an investigator-initiated study supported by Ipsen Australia.
Barden's PhD candidature is supported by an Australian Postgraduate Award, The George Burniston Cumberland Foundation Fellowship 2011, and the Helga Pettitt Faculty of Health Sciences Postgraduate Study Award 2011.
Honoraria received from Ipsen and Allergan (Barden, Baguley, and Nott). Advisory board membership for Ipsen (Baguley, Nott, and Barden) and Allergan (Baguley and Nott).
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
