An Intensive Programme of Passive Stretch and Motor Training to Manage Severe Knee Contractures after Traumatic Brain Injury: A Case Report

Leung, Joan; Harvey, L A; Moseley, Anne M.

doi:10.3138/ptc.2012-29

Cited by 6 publications

(5 citation statements)

References 28 publications

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“…Passive stretching and motor training have been widely used to prevent this complication. (15) Our study revealed that the patient's range of motion of the body's major joints was preserved without any statistically signi cant deterioration. The neurorehabilitative procedures helped to prevent the development of spasticity and rigidity.…”

Section: Outcomes Of Neurorehabilitation On the Range Of Motion Passi...mentioning

confidence: 54%

Outcomes of Neurorehabilitation Amongst Patients with Prolonged Disorders of Consciousness

Mohammed

Sharbatti

Nemmar

et al. 2023

Preprint

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Background: Less is known about the impact of Neurorehabilitation on patients with Prolonged Disorder of Consciousness. We assessed the Range of Motion, Muscle Girth and Power, Level of Consciousness, Development of Deformity, and Superficial Sensation. Methods: A record-based study was done, including the data of patients diagnosed with prolonged disorder of consciousness who were admitted at the Long-term Rehabilitation Center-Thumbay Hospital, Ajman UAE, between 2020-2022. Data on the “Range of Motion”, “Muscle Girth and Power”, “Level of Consciousness”, “Development of Deformity”, and “Superficial Sensation” were collected and analysed. SPSS software version 27 was used for analysis. The Chi-square test was used to assess association, and the t-test was used to test the mean difference. Results: We assessed the data of 21 patients with a prolonged disorder of consciousness. The Superficial sensation had a significant increment (p<0.025). There was a decrease in the proportion of patients with deformities during the follow-up period. The Range of Motion, Muscle Girth, and Muscle Power were also preserved without significant deterioration. However, the level of consciousness measured by the Glasgow Coma Scale (GCS) showed no improvement. Conclusions: Our research showed that neurorehabilitation has a significant impact on improving superficial sensation and in the prevention of the development of deformities. However, the mean level of consciousness remained the same. There was also no decrease in the Range of Motion. The Muscle girth and power both were preserved over the course of 2 years.

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Section: Outcomes Of Neurorehabilitation On the Range Of Motion Passi...mentioning

confidence: 54%

Outcomes of Neurorehabilitation Amongst Patients with Prolonged Disorders of Consciousness

Mohammed

Sharbatti

Nemmar

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…These can also cause a delay in motor recovery, poor rehabilitation results, and prolonged hospitalization. Passive stretching and motor training have been widely used to prevent this complication [15]. Our study revealed that a patient's ROM in the body's major joints was preserved without any statistically significant deterioration.…”

Section: Outcomes Of Neurorehabilitation On Rom Passive Mobility and ...mentioning

confidence: 59%

Outcomes of Neurorehabilitation Among Patients With Prolonged Disorders of Consciousness

Saif,

Sharbatti,

Nemmar

et al. 2023

Cureus

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Background: The impact of neurorehabilitation on patients with prolonged disorders of consciousness (PDOC) is not well known. We assessed the range of motion (ROM), muscle girth and power, level of consciousness, development of musculoskeletal deformity, and superficial sensation.Methods: A retrospective observational record-based study was done, which included the data of patients diagnosed with PDOC admitted at Thumbay Physical Therapy & Rehabilitation Hospital, Ajman, UAE, between 2020 and 2022. Data on the "range of motion", "muscle girth and power", "level of consciousness", "development of musculoskeletal deformity", and "superficial sensation" were collected and analyzed. The SPSS software version 27 (IBM Corp., Armonk, NY, USA) was used for analysis. The chi-square test was used to assess association, and the t-test was used to test the mean difference.Results: We assessed the data of 21 patients with PDOC. The superficial sensation was found to have increased significantly (p<0.025). There was a decrease in the proportion of patients with musculoskeletal deformities during the follow-up period. The ROM, muscle girth, and muscle power were also preserved without significant deterioration. However, the level of consciousness measured by the Glasgow coma scale (GCS) showed no improvement.Conclusions: Our research showed that neurorehabilitation significantly improves superficial sensation and prevents the development of musculoskeletal deformities. However, the mean level of consciousness remained the same. There was also no decrease in ROM. Both muscle girth and power were preserved over two years.

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“…Splinting can be gradually withdrawn over time as motor control and strength improve. 11,12 The findings of these two case studies provide justification for further research.…”

Section: Introductionmentioning

confidence: 79%

Effectiveness of a programme comprising serial casting, botulinum toxin, splinting and motor training for contracture management: a randomized controlled trial

2019

Self Cite

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Objective: To determine the effectiveness of a programme comprising serial casting, botulinum toxin, splinting and motor training in contracture management. Design: A randomized trial with concealed allocation and assessor blinding, a deferred treatment cross-over design within the control group, was conducted. Setting: Inpatient Brain Injury Unit of a rehabilitation centre. Subjects: A total of 10 patients with severe acquired brain injury (13 ankles). Interventions: The intervention group received botulinum toxin and then serial casting. The control group was placed on a wait list for six weeks (control phase) and then received the same interventions as the intervention group (intervention phase). Both groups received splinting and motor training following serial casting. Main measures: The primary outcome was passive ankle dorsiflexion range. Secondary outcomes included spasticity, ankle dorsiflexor strength, Functional Independence Measure score for the walking item and walking speed. Results: The mean between-group difference for passive ankle dorsiflexion range at completion of casting was 26° (95% confidence interval (CI): 17–35); at Week 2, after casting was 24° (95% CI: 14–33). The mean within-group differences for passive ankle dorsiflexion at completion of casting, Week 2 after casting and Week 8 after casting were 26° (95% CI: 20–31), 26° (95% CI: 18–33) and 24° (95% CI: 19–30), respectively. These improvements were sustained at Week 2 and Week 8 after casting. Conclusions: A programme for contracture management comprising serial casting, botulinum toxin, motor training and splinting can be useful in improving joint range.

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An Intensive Programme of Passive Stretch and Motor Training to Manage Severe Knee Contractures after Traumatic Brain Injury: A Case Report

Cited by 6 publications

References 28 publications

Outcomes of Neurorehabilitation Amongst Patients with Prolonged Disorders of Consciousness

Outcomes of Neurorehabilitation Amongst Patients with Prolonged Disorders of Consciousness

Outcomes of Neurorehabilitation Among Patients With Prolonged Disorders of Consciousness

Effectiveness of a programme comprising serial casting, botulinum toxin, splinting and motor training for contracture management: a randomized controlled trial

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