Spasticity & Effects on Motor Recovery in Stroke Patients

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In Top Stroke Rehabil 2010 Sep-Oct Sept Dr. Ryu and team from the Department of Rehabilitation Medicine, CHA University College of Medicine, Seongnam, South Korea look at Factors predictive of spasticity and their effects on motor recovery and functional outcomes in stroke patients. They found that Spasticity evaluated by the Modified Ashworth Scale (MAS) was found in 42.4% of stroke patients admitted to the rehab clinic. As to be expected, the functional gains and eventual efficiency outcomes were greater for nonspastic patients

The HandTutor is used for hand movement impairments in both neurological and orthopedic population. The HandTutor system can be used with patients who show hypertonicity (spasticity). It is possible for an experienced OT/ PT to reduce spasticity for the short term during treatment. During the treatment the OT/ PT should work on combined Task orientated training or task specific training and Impairment Oriented training (IOT).
This training will increase the patient’s sensory motor and cognitive ability. Thus the aim of the treatment is to allow the patient to have a continued ability to do functional tasks when spasticity returns following treatment. However with high Ashworth score it is not possible to do task specific training.

Therefore the HandTutor allows the patient to begin to do active exercise training with very limited movement ability. In cases when the patient does not have the ability to open or close his fingers then the therapist or assistant (if we are looking at homecare) can open the patients hand when they feel the patient working with them and not against them.


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