Classification of posture in poststroke upper limb spasticity: a potential decision tool for botulinum toxin A treatment?

International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation
Harald HefterJorg Wissel

Abstract

A significant percentage of patients suffering from a stroke involving motor-relevant central nervous system regions will develop a spastic movement disorder. Hyperactivity of different muscle combinations forces the limbs affected into abnormal postures or movement patterns. As muscular hyperactivity can effectively and safely be treated with botulinum toxin type A (BoNT-A), we present a classification of spastic arm movement patterns to support BoNT-A therapy of arm spasticity. A few characteristic patterns can be distinguished that may be relevant for BoNT-A treatment. On the basis of a differentiated posture and arm movement analysis, five characteristic arm spasticity patterns (ASP I-V) were defined with respect to the position of the shoulder, elbow, forearm, and wrist joints. These patterns were verified using data from a worldwide noninterventional Upper Limb International Survey. By clinical observation, spastic arm postures in 94% of 665 poststroke patients could be assigned to one of these five ASPs. The most frequent pattern of arm spasticity was ASP III (41.8%) with internal rotation and adduction of the shoulder and flexion at the elbow coupled with a neutral positioning of the forearm and wrist, not the typical W...Continue Reading

Citations

Jun 22, 2018·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·A P KovalenkoM A Koshkarev
Dec 1, 2018·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·D A IskraD E Dyskin
Sep 12, 2019·Arquivos de neuro-psiquiatria·André Luiz Salcedo GomesMarcelo Riberto
Jul 28, 2013·Brain Injury : [BI]·Aurore ThibautOlivia Gosseries
Feb 23, 2017·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Bo Biering-SørensenFin Biering-Sørensen
Jun 28, 2016·PM & R : the Journal of Injury, Function, and Rehabilitation·David M SimpsonIb Odderson
Mar 14, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Alberto EsquenaziDavid M Simpson
Jun 4, 2020·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·A P KovalenkoD V Kovlen
Oct 20, 2018·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·A P Kovalenko, V K Misikov
Aug 26, 2015·Brain Injury : [BI]·Hannah Louise Holman BardenChristine Chapparo
Aug 15, 2017·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·A P KovalenkoA N Karimov
Dec 29, 2019·Journal of Neuroengineering and Rehabilitation·Michelle B KahnBenjamin F Mentiplay
Apr 24, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Antonino LeoRocco Salvatore Calabrò
Nov 7, 2020·Topics in Stroke Rehabilitation·Stefanie Glaess-LeistnerJörg Wissel
Aug 28, 2021·Micromachines·Md Rasedul IslamMohammad Habibur Rahman

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