Serial Casting for the Management of Spasticity in the Head-Injured Adult

Booth, B; Doyle, Mari; Montgomery, Jacqueline

doi:10.1093/ptj/63.12.1960

Cited by 71 publications

(58 citation statements)

References 2 publications

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“…Following the use of KT, the spasticity of gastrocnemius decreased which led to increase in ankle joint dorsiflexion motion. Based on the results of previous studies, dynamic stability based on TUG test depends on spasticity of ankle plantar flexor and range of dorsiflexion motion [21,[37][38][39]. Therefore, the dynamic stability of both subjects improved due to decrease in spasticity of plantar flexor muscles.…”

Section: Discussionmentioning

confidence: 91%

The Immediate Effects of Inhibitive Gastrocnemius Kinesio Taping on Static and Functional Balance Performance in Subjects With Chronic Stroke Disorders

Pourmomeny

Jalaee

Baharloo

et al. 2016

PTJ

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Purpose: Stroke is one of leading causes of neuromuscular disorders that affects the patients' abilities during standing and walking. Various treatments have been used to restore and improve patients' stability and reduce falling risks. This study aimed to assess the effect of Kinesio taping on dynamic balance and spasticity in subjects with stroke disorder. Methods:This project was single blind randomized controlled trial. A total of 22 stroke patients (11 patients were diagnosed with right-sided and 11 patients with left-sided hemiplegia) were recruited in this study. Both groups received Kinesio taping intervention. Kinesio Tex Tape was directly applied to the skin of calf muscles and kept there for 1 hour. Time up and go (TUG) test was used to assess dynamic postural control and modified modified Ashworth Scale to evaluate the degree of spasticity of plantar flexor muscles. The subjects' static stability was evaluated based on sways of centre of pressure (CoP) on a force plate. The statistical analysis was done by performing repeated measure of analysis of variance with Minitab software (v. 17).Results: There was a statistically significant reduction of the spasticity and Time up and go test scores in the pre-taped, taped and retest conditions (P<0.05). There was a significant difference between two groups with regard to TUG test scores (P=0.013), but not spasticity scores (P=0.301). No differences were observed in CoP excursions between the test conditions for both left and right sides (P=0.415). Conclusion:These results suggest that ankle taping is useful in immediate stabilization of body posture and reduction of spasticity. Also the results of this study showed that subjects with leftsided hemiplegia have relevant balance disorders and taping better improve dynamic postural control in these patients.

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Section: Discussionmentioning

confidence: 91%

The Immediate Effects of Inhibitive Gastrocnemius Kinesio Taping on Static and Functional Balance Performance in Subjects With Chronic Stroke Disorders

Pourmomeny

Jalaee

Baharloo

et al. 2016

PTJ

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“…In this study contractures were treated with serial casting, to achieve an improvement in joint mobility and a reduction of the extension deficit [6,47]. In eight patients a baclofen pump was implanted after the BBT.…”

Section: Discussionmentioning

confidence: 99%

Measurement of the effect of a bolus dose of intrathecal baclofen by continuous measurement of force under fibreglass casts

Pohl

Rockstroh

Rückriem

et al. 2002

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 the modified Ashworth Scale (MAS) and Penn Spasm Frequency Scales (SFS). The result of a BBT may be difficult to interpret in patients with reduced joint mobility caused by contractures. The aim of this study was to apply a new spasticity measurement which would quantify and visualise the effect of a BBT in 10 patients with severe cerebral spasticity and contractures. Spasticity was recorded continuously by the measurement of force under circular fibreglass casts in 10 knee joint contractures. Force was recorded as net-torque by multiplying the force and distance between sensor and joint axis, thus allowing inter-individual comparison. MAS, SFS, and two three-hour time integrals of net-torque were determined before and after intrathecally administered baclofen. No significant changes in MAS (p = 0.1) and SFS (p = 0.07) were observed; however, a significant reduction of time integrals of net-torque after baclofen administration (p = 0.005) was found. The present study shows that the antispastic effect of intrathecally administered BBT can be quantitatively assessed and visualised using the described method. It also suggests that this method can be helpful in the assessment of the effectiveness of the BBT in patients with severe spasticity of cerebral origin and contractures.

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“…The slow progress and the deterioration in right-knee ROM in the first 2 months after admission prompted the move to a more aggressive stretch programme. Serial casting [27][28][29][30] for the right knee therefore began. A series of five casts was applied over 5 weeks.…”

Section: Interventionmentioning

confidence: 99%

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

Leung

Harvey

Moseley

2013

Physiotherapy Canada

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Purpose: While contemporary management of contractures (a common secondary problem of acquired brain injury that can be difficult to treat) includes passive stretch, recent evidence indicates that this intervention may not be effective. This may be because clinical trials have not provided a sufficient dose or have not combined passive stretch with other treatments. The purpose of this case report is to describe a programme of intensive passive stretch combined with motor training administered over a 1.5-year period to treat severe knee contractures. Method: Five months after traumatic brain injury, an adolescent client with severe contractures in multiple joints underwent an intensive stretch programme for his knee contractures, including serial casting and splinting, which was administered for 10 months in conjunction with a motor training programme administered for 1.5 years. Results: The client regained full extension range in his knees and progressed from being totally dependent to walking short distances with assistance; these effects were maintained at follow-up 5.5 years after injury. Conclusion: The use of a high dose of passive stretch in conjunction with motor training may be an option to consider for correcting severe contractures following acquired brain injury.Key Words: brain injuries; contracture; exercise therapy; muscle stretching exercises. RÉ SUMÉObjectif : Bien que le contrô le des contractures (un problè me secondaire fré quent propre aux lé sions cé ré brales acquises et pouvant ê tre difficile à traiter) comprenne des é tirements passifs, des preuves ré centes indiquent que cette intervention pourrait ê tre inefficace. Cela pourrait s'expliquer par le fait que les essais cliniques n'ont pas utilisé des dosages suffisants ou qu'ils n'ont pas jumelé les é tirements passifs à d'autres traitements. L'objectif de ce rapport de cas consiste à dé crire un programme d'é tirements passifs intensifs allié à un entraînement moteur administré durant une pé riode d'un an et demi pour le traitement de contractures sé vè res au genou. Mé thodologie : Cinq mois aprè s un traumatisme cé ré bral, un client adolescent aux prises avec des contractures sé vè res à de multiples articulations a é té soumis à un programme intensif d'é tirements pour ses contractures au genou, y compris l'application successive de plâ tres et d'attelles. Le programme a é té administré pendant 10 mois, en mê me temps qu'un programme d'entraînement moteur qui a duré un an et demi. Ré sultats : Le client a retrouvé la pleine extension de son genou et ses progrè s se sont é tendus d'une dé pendance totale à la capacité de marcher sur de courtes distances sans aide; ces effets se sont prolongé s pendant un suivi de cinq ans et demi aprè s le traumatisme. Conclusion : L'utilisation des é tirements passifs à dosage é levé en mê me temps qu'un entraînement moteur pourrait ê tre une avenue à considé rer pour corriger les contractures sé vè res ré sultant d'un traumatisme cé ré bral.Contractures-a reduction in passive joint range d...

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Serial Casting for the Management of Spasticity in the Head-Injured Adult

Cited by 71 publications

References 2 publications

The Immediate Effects of Inhibitive Gastrocnemius Kinesio Taping on Static and Functional Balance Performance in Subjects With Chronic Stroke Disorders

The Immediate Effects of Inhibitive Gastrocnemius Kinesio Taping on Static and Functional Balance Performance in Subjects With Chronic Stroke Disorders

Measurement of the effect of a bolus dose of intrathecal baclofen by continuous measurement of force under fibreglass casts

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

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