Post Stroke Patient Benefits from HandTutor

English: U.S. Naval Hospital, Yokosuka, Japan ...

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Dr. A.T. Patel, MD, Kansas City Bone and Joint Clinic, PA, and The Rehabilitation Institute of Kansas City, Kansas City, Missouri. writing in the journal PHYSICAL THERAPY, August 2011 about poststoke spasticity. Poststroke spasticity has a detrimental effect on functional activities and daily living and is frequently accompanied by pain, abnormal limb postures, and contractures. The purpose of this case report is to describe the long term benefit and effect of botulinum toxin A in a patient with poststroke spasticity.

A 35-year old woman with poststroke upper limb (uooer extremity) spasticity who had lost function in her left hand was treated with onabotulinumtoxinA. Over a period of 25 months, the patient underwent both a physical therapy and occupational therapy program and received onabotulinumtoxinA injections into muscles of the left hand and arm which significantly reduced tone and facilitated recovery of function.

OnabotulinumtoxinA injections were discontinued when treatment goals were attained, and thereafter no further improvements were achieved. In addition, after more than two and a half years without further onabotulinumtoxinA treatments, the patient maintained range of motion (ROM) and “some” functional use and dexterity in her left hand.

This case report indicates the efficacy and long term benefit of onabotulinumtoxinA when combined with a physical therapy program and shows that the treatment is successful for poststroke spasticity.

One of the preferred methods of hand therapy including physical and occupational therapy for poststroke victims who lack normal movement in their hand or arm is the HandTutor and ArmTutor.

The HandTutor™ system is an active exercise based hand rehabilitation program that uses the accepted methods of impairment oriented training (IOT) with augmented feedback. The HandTutor™ evaluates and treats finger and hand movement dysfunction through exercises that encourage extension/ flexion of the finger(s) and wrist (hand).

The HandTutor and ArmTutor rehabilitation system employs the known concept of biofeedback to give occupational and physical therapists access to an affordable user friendly hand and arm rehabilitation package. The HandTutor™ can also be used in combination with the 3DTutor™  wrist supination and extension flexion exercises. The HandTutor™ is CE medical and FDA certified. The Tutor system including the HandTutor and ArmTutor is being used worldwide and in leading U.S hospitals and clinics.


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