Effectiveness of serial casting in patients with severe cerebral spasticity: A comparison study

Pohl, Marcus; Rückriem, Stefan; Mehrholz, Jan; Ritschel, Claudia; Strik, Herwig; Pause, Max

doi:10.1053/apmr.2002.32821

Cited by 51 publications

(32 citation statements)

References 27 publications

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“…For example, contracture was not found in all SCI subjects in this study, with only 7 out of the 10 SCI participants having 101 or less of dorsiflexion ROM, with a muscle torque-angle relation within the range of the NI population. Treatments targeting relief from contracture, such as splinting (Blanton et al, 2002), serial casting (Chambers, 2001;Pohl et al, 2002), or tendon lengthening (Pinney et al, 2002;Baddar et al, 2002) could be monitored to determine whether changes in passive range of motion are accompanied by resetting of the muscle length-tension properties, which may play an important functional role in movement. …”

Section: Discussionmentioning

confidence: 99%

Length–tension properties of ankle muscles in chronic human spinal cord injury

McDonald

Garrison

Schmit

2005

Journal of Biomechanics

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Section: Discussionmentioning

confidence: 99%

Length–tension properties of ankle muscles in chronic human spinal cord injury

McDonald

Garrison

Schmit

2005

Journal of Biomechanics

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“…Spasticity hinders voluntary movements, and prolonged spasticity may lead to pain and severe reduction of joint range of motion (ROM) [3]. These 'contractures' and spasticity itself often reduce function of the limbs and complicate patient care [4]. Therefore, adequate management of spasticity is a major challenge in rehabilitation medicine [1].…”

Section: Introductionmentioning

confidence: 99%

Excellent test–retest and inter-rater reliability for Tardieu Scale measurements with inertial sensors in elbow flexors of stroke patients

et al. 2011

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“…The achieved position was then fixed by installation of a cast. A detailed description of the casting procedure was previously published by the authors [19]. After the cast was completely hardened, a large patch, reaching over the whole dorsal part of the extremity and over the joint axis, was sawn through and fixed with a fixative band.…”

Section: Installation Of the Cast And Force Sensormentioning

confidence: 99%

Time course of the effect of a bolus dose of intrathecal baclofen on severe cerebral spasticity

Pohl

Rockstroh

Rückriem

et al. 2003

Journal of Neurology

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Continuous intrathecal administration of baclofen with implanted programmable pump systems is recommended in the treatment of severe spasticity of cerebral origin. Prior to pump implantation, a baclofen bolus test (BBT) is used to assess the effectiveness of intrathecal baclofen using clinical scales such as the Modified Ashworth Scale (MAS). In the literature, the time and period of maximum effect of a bolus dose of intrathecally administered baclofen in patients with cerebral spasticity is variously reported. The aim of the study was, therefore, to reveal the time course of the effect of a BBT on severe cerebral spasticity by the use of a recently described spasticity measurement method. Spasticity in knee joints of 13 patients with severe cerebral spasticity was repeatedly assessed using the MAS and also continuously recorded by the measurement of force under circular fibreglass casts. Force was recorded as nettorque by multiplying the force by the distance between sensor and joint axis, thus allowing inter-individual comparison. Half-hour time integrals (TI) of net-torque were determined 9 hours before and 22 hours after intrathecal baclofen administration. Post-BBT half-hour time integrals (TI(+0), TI(+0.5), to TI(+22)) were compared with the mean of 17 pre-BBT half-hour time integrals. Significantly lower post-BBT half-hour time integrals compared with were found between TI(+2) and TI(+8) (Dunnett adjusted p < 0.05). The median lowest TI after BBT of the 13 patients was TI(+4). The lowest mean MAS scores were found 4 hours after BBT. The findings suggest that the greatest effect of BBT on cerebral spasticity occurs between 2 and 8.5 hours, with a maximal effect at 4 hours after intrathecal baclofen injection. Clinical scales used to determine the effect of BBT should thus be carried out during this period-ideally at 4 hours after baclofen injection.

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Effectiveness of serial casting in patients with severe cerebral spasticity: A comparison study

Cited by 51 publications

References 27 publications

Length–tension properties of ankle muscles in chronic human spinal cord injury

Length–tension properties of ankle muscles in chronic human spinal cord injury

Excellent test–retest and inter-rater reliability for Tardieu Scale measurements with inertial sensors in elbow flexors of stroke patients

Time course of the effect of a bolus dose of intrathecal baclofen on severe cerebral spasticity

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