OBJECTIVE To investigate the therapeutic effect of electrical stimulation on plantarflexor spasticity in stroke patients. DESIGN A randomized controlled clinical trial study. SETTING Rehabilitation clinic of Semnan University of Medical Sciences. SUBJECTS Forty stroke patients (aged from 42 to 65 years) with ankle plantarflexor spasticity. INTERVENTION Fifteen minutes of inhibitory Boba...

OBJECTIVE This work intended to observe the effect of injecting botolinum toxin type A (BTX-A) for relieving spastic iliopsoas of cerebral palsy on children, and to investigate the improvement of this method for the motor function in these children. PATIENTS AND METHODS From July 2006 to August 2012, 37 children with spastic iliopsoas cerebral palsy were received rehabilitation therapy. The a...

BACKGROUND AND PURPOSE Spasticity (hypertonicity) is a frequent problem that can develop after stroke and can lead to a number of secondary complications, such as contractures and pain. Consequently, many rehabilitation resources are used in treating the condition and its secondary complications. At present, the clinical assessment of spasticity incorporates descriptive scales of resistance to ...

OBJECTIVE To explore the effect of treatment after botulinum toxin type A combined with treatments for the spastic foot. DESIGN Single-blind, randomized trial, with 3-month follow-up. SUBJECTS Twenty-three chronic hemiplegic adult patients with spastic equinus foot. METHODS Following botulinum toxin type A injection at the medial and lateral gastrocnemius, patients were assigned randomly ...

Fetal-type Minamata disease is caused by the exposure to high concentrations of methylmercury in the fetal period and shows cerebral palsy-like clinical features. Relief of spasticity is a major task of rehabilitation to improve their activities of daily living. Here we report the effect of long-term vibration therapy on bilateral lower-limb spasticity in 3 patients with fetal-type Minamata dis...

Background: Spasticity is one of the major neurological complications occurring in people with Spinal Cord Lesions due to loss of supra-spinal and spinal control over alpha motor neuron activity. Its accurate assessment is necessary for tailoring patient specific rehabilitation program. Clinical assessment is commonly done through Modified Ashworth Scale where in the examiner subjectively judge...

The purpose of this study was to investigate the validity of the modified Ashworth Scale (MAS) by using both the conventional (Hmax/Mmax ratio) and the new indicators (Hslp/Mslp) of motoneuron excitability. This research was a correlational study on twenty post-stroke patients. Main outcome measures were the MAS and electrophysiologic assessments. The latter was performed using both conventiona...

OBJECTIVE To evaluate the ultrasonographic measurement of shoulder subluxation in patients with post-stroke hemiplegia. DESIGN Prospective, single blind study. PATIENTS A total of 41 patients with post-stroke hemiplegia were included (24 men and 17 women, mean age 56 years (standard deviation 11), age range 34-78 years). METHODS Clinical evaluation of the affected shoulder was assessed us...

PURPOSE To study the efficacy of traditional Thai massage (TTM) versus conventional physical therapy (PT) programs in treating muscle spasticity, functional ability, anxiety, depression, and quality of life (QoL) in Thai stroke patients. METHODS This randomized controlled trial with a blinded assessor was carried out at the Department of Rehabilitation Medicine, Siriraj Hospital (Bangkok, Tha...

Spasticity is a neuromuscular dysfunction characterized by tight or stiff muscles. Spasticity occurs across the spectrum of upper motor neuron disease and complicates the course and quality of life of those affected. Accurate and precise assessment of spasticity is the first step in providing safe and effective treatments to patients for management of spasticity. Examiner evaluations (Ashworth ...