Further Assessment to Determine the Additive Effect of Botulinum Toxin Type A on an Upper Extremity Exercise Program to Enhance Function Among Individuals.

Slides:

Advertisements

Similar presentations

Randomized Controlled Trial for Efficacy of Intra-Articular Injection for Adhesive Capsulitis: Ultrasonography-Guided Versus Blind Technique Hong-Jae Lee,

Advertisements

Pain Physiology Education Improves Pain Beliefs in Patients With Chronic Fatigue Syndrome Compared With Pacing and Self-Management Education: A Double-Blind.

Randomized controlled trial of nocturnal splinting for active workers with symptoms of carpal tunnel syndrome Robert A. Werner, MD, Alfred Franzblau,

A Community-Based Upper-Extremity Group Exercise Program Improves Motor Function and Performance of Functional Activities in Chronic Stroke: A Randomized.

Does Exercise Reduce Pain and Improve Physical Function Before Hip or Knee Replacement Surgery? A Systematic Review and Meta-Analysis of Randomized Controlled.

Comparative Effectiveness of Platelet-Rich Plasma Injections for Treating Knee Joint Cartilage Degenerative Pathology: A Systematic Review and Meta-Analysis

Comparison of Intra-articular Hyaluronic Acid Injections With Transcutaneous Electric Nerve Stimulation for the Management of Knee Osteoarthritis: A Randomized.

Lumbar Multifidus Muscle Thickness Does Not Predict Patients With Low Back Pain Who Improve With Trunk Stabilization Exercises Kristen A. Zielinski,

Additional Saturday Allied Health Services Increase Habitual Physical Activity Among Patients Receiving Inpatient Rehabilitation for Lower Limb Orthopedic.

Effects of Weight-Bearing Versus Nonweight-Bearing Exercise on Function, Walking Speed, and Position Sense in Participants With Knee Osteoarthritis: A.

Acupuncture for Upper-Extremity Rehabilitation in Chronic Stroke: A Randomized Sham- Controlled Study Peter M. Wayne, PhD, David E. Krebs, PhD, Eric A.

Cost-Effectiveness of Screening for Deep Vein Thrombosis by Ultrasound at Admission to Stroke Rehabilitation Richard D. Wilson, MD, Patrick K. Murray,

Brain Injury Coping Skills Group: A Preventative Intervention for Patients With Brain Injury and Their Caregivers Samantha L. Backhaus, PhD, Summer L.

Aerobic Exercise Training in Addition to Conventional Physiotherapy for Chronic Low Back Pain: A Randomized Controlled Trial Carol W. Chan, PT, MSc,

Pain Physiology Education Improves Pain Beliefs in Patients With Chronic Fatigue Syndrome Compared With Pacing and Self-Management Education: A Double-Blind.

Effect of Electrical Stimulation on Botulinum Toxin A Therapy in Patients With Chronic Myofascial Pain Syndrome: A 16-Week Randomized Double-Blinded Study

Patient-Reported Upper Extremity Outcome Measures Used in Breast Cancer Survivors: A Systematic Review Shana Harrington, PT, PhD, SCS, MTC, Lori A. Michener,

Treatment With Botulinum Toxin Improves Upper-Extremity Function Post Stroke: A Systematic Review and Meta-Analysis Norine Foley, MSc, Shelialah Pereira,

Effects of Weight-Bearing Versus Nonweight-Bearing Exercise on Function, Walking Speed, and Position Sense in Participants With Knee Osteoarthritis: A.

Effectiveness of Audio Feedback for Partial Weight-Bearing in and Outside the Hospital: A Randomized Controlled Trial Henri L. Hurkmans, PhD, Johannes.

Dose-dependent response to intramuscular botulinum toxin type A for upper-limb spasticity in patients after a stroke 1 Martin K Childers, DO, PhD, Allison.

A Randomized Clinical Trial of an Activity and Exercise Adherence Intervention in Chronic Pulmonary Disease Bonnie G. Steele, PhD, ARNP, Basia Belza,

Vijay B. Vad, MD, Atul L. Bhat, MD, Yasir Tarabichi

Randomized controlled trial of nocturnal splinting for active workers with symptoms of carpal tunnel syndrome Robert A. Werner, MD, Alfred Franzblau,

Agatha P. Colbert, MD, Marko S

Comparison of Robotics, Functional Electrical Stimulation, and Motor Learning Methods for Treatment of Persistent Upper Extremity Dysfunction After Stroke:

Effects of a Community-Based Progressive Resistance Training Program on Muscle Performance and Physical Function in Adults With Down Syndrome: A Randomized.

A Randomized Controlled Trial to Investigate the Effects of Water-Based Exercise to Improve Falls Risk and Physical Function in Older Adults With Lower-Extremity.

Meta-Analysis of Botulinum Toxin A Detrusor Injections in the Treatment of Neurogenic Detrusor Overactivity After Spinal Cord Injury Swati Mehta, MA,

Immediate Effects of Transcutaneous Electrical Nerve Stimulation on Pain and Physical Performance in Individuals With Preradiographic Knee Osteoarthritis:

Dual-Task Exercise Improves Walking Ability in Chronic Stroke: A Randomized Controlled Trial Yea-Ru Yang, PT, PhD, Ray-Yau Wang, PT, PhD, Yu-Chung Chen,

Tien-Yow Chuang, MD, Wen-Hsu Sung, PhD, Chih-Yung Lin, PhD

Measurement Characteristics and Clinical Utility of the Executive Function Performance Test Among Individuals With Stroke Jason Raad, MS, Jennifer Moore,

Lumbar Multifidus Muscle Thickness Does Not Predict Patients With Low Back Pain Who Improve With Trunk Stabilization Exercises Kristen A. Zielinski,

Endurance Exercise Training in Patients With Small Abdominal Aortic Aneurysm: A Randomized Controlled Pilot Study Garry A. Tew, PhD, James Moss, BSc,

Does Treadmill Exercise Improve Performance of Cognitive or Upper-Extremity Tasks in People With Chronic Stroke? A Randomized Cross-Over Trial Michelle.

Evaluation of Spastic Muscle in Stroke Survivors Using Magnetic Resonance Imaging and Resistance to Passive Motion Lori L. Ploutz-Snyder, PhD, Brian.

Mark W. Werneke, PT, MS, Dennis L. Hart, PT, PhD, Steven Z

Reliability of Isometric Strength Measurements in Trunk and Neck Region: Patients With Chronic Neck Pain Compared With Pain-Free Persons Raphael Scheuer,

Addition of Intra-articular Hyaluronate Injection to Physical Therapy Program Produces No Extra Benefits in Patients With Adhesive Capsulitis of the Shoulder:

A Meta-Analysis of Botulinum Toxin Sphincteric Injections in the Treatment of Incomplete Voiding After Spinal Cord Injury Swati Mehta, HBSc, Denise Hill,

Responses of the Less Affected Arm to Bilateral Upper Limb Task Training in Early Rehabilitation After Stroke: A Randomized Controlled Trial Jacqui.

Does Postacute Care Site Matter

Renan C. Castillo, MS, Ellen J. MacKenzie, PhD, Lawrence X

Cyclic Functional Electrical Stimulation Does Not Enhance Gains in Hand Grasp Function When Used as an Adjunct to OnabotulinumtoxinA and Task Practice.

Interventions to Promote Long-Term Participation in Physical Activity After Stroke: A Systematic Review of the Literature Jacqui H. Morris, PhD, Stephen.

Dorothy F. Edwards, PhD, Catherine E. Lang, PT, PhD, Joanne M

Feasibility of 2 Different Water-Based Exercise Training Programs in Patients With Parkinson's Disease: A Pilot Study Carlos Ayán, PhD, José Cancela,

Posterolateral Hip Muscle Strengthening Versus Quadriceps Strengthening for Patellofemoral Pain: A Comparative Control Trial Khalil Khayambashi, PT,

Catherine E. Lang, PT, PhD, Dorothy F. Edwards, PhD, Rebecca L

Comparative Effectiveness of Platelet-Rich Plasma Injections for Treating Knee Joint Cartilage Degenerative Pathology: A Systematic Review and Meta-Analysis

Motivational Enhancement Therapy in Addition to Physical Therapy Improves Motivational Factors and Treatment Outcomes in People With Low Back Pain: A.

Botulinum Toxin Type A for Poststroke Cricopharyngeal Muscle Dysfunction Deog Young Kim, MD, PhD, Chang-il Park, MD, PhD, Suk Hoon Ohn, MD, Ja Young Moon,

Efficacy of Intra-Articular Injection of Botulinum Toxin Type A in Refractory Hemiplegic Shoulder Pain Alberto Castiglione, MD, Sergio Bagnato, MD, PhD,

A Preliminary Assessment of the Benefits of the Addition of Botulinum Toxin A to a Conventional Therapy Program on the Function of People With Longstanding.

Effects of Mobilization and Tactile Stimulation on Chronic Upper-Limb Sensorimotor Dysfunction After Stroke Jacqueline M. Winter, PhD, Peter Crome, DSc,

Mirror Therapy Enhances Lower-Extremity Motor Recovery and Motor Functioning After Stroke: A Randomized Controlled Trial Serap Sütbeyaz, MD, Gunes Yavuzer,

Otto L. Lam, PhD, Anne S. McMillan, PhD, Lakshman P

Problem-Solving Training for Family Caregivers of Persons With Traumatic Brain Injuries: A Randomized Controlled Trial Patricia A. Rivera, PhD, Timothy.

Organization news Archives of Physical Medicine and Rehabilitation

Archives of Physical Medicine and Rehabilitation

Measurement of Upper-Extremity Function Early After Stroke: Properties of the Action Research Arm Test Catherine E. Lang, PT, PhD, Joanne M. Wagner,

Randomized Controlled Trial of Peer Mentoring for Individuals With Traumatic Brain Injury and Their Significant Others Robin A. Hanks, PhD, Lisa J. Rapport,

Courtney D. Hall, PhD, PT, Tanya Miszko, EdD, Lic Ac, Steven L

Journal-Based CME Evaluation and Application

Lana A. Tiersky, PhD, Vera Anselmi, PhD, Mark V

Mobility Changes in Individuals With Dysvascular Amputation From the Presurgical Period to 12 Months Postamputation Joseph M. Czerniecki, MD, Aaron P.

Evaluation of upper-limb spasticity after stroke: A clinical and neurophysiologic study Assunta Pizzi, MD, Giovanna Carlucci, MD, Catuscia Falsini, MD,

Distinguishing Patient Satisfaction With Treatment Delivery From Treatment Effect: A Preliminary Investigation of Patient Satisfaction With Symptoms After.

Further Assessment to Determine the Additive Effect of Botulinum Toxin Type A on an Upper Extremity Exercise Program to Enhance Function Among Individuals.

Presentation transcript:

Further Assessment to Determine the Additive Effect of Botulinum Toxin Type A on an Upper Extremity Exercise Program to Enhance Function Among Individuals With Chronic Stroke but Extensor Capability Steven L. Wolf, PhD, PT, S. Byron Milton, MD, Aimee Reiss, DPT, Kirk A. Easley, MS, Neeta V. Shenvi, PhD, Patricia C. Clark, PhD, RN Archives of Physical Medicine and Rehabilitation Volume 93, Issue 4, Pages 578-587 (April 2012) DOI: 10.1016/j.apmr.2011.10.026 Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 CONSORT diagram of the progress through the phases (enrollment, intervention allocation, follow-up, and data analysis) of a parallel randomized trial of 2 groups (the BTX-A and a standardized exercise protocol, or saline injection and a standardized exercise protocol). Abbreviation: eval, evaluation. Archives of Physical Medicine and Rehabilitation 2012 93, 578-587DOI: (10.1016/j.apmr.2011.10.026) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Longitudinal changes (mean and 95% CI) in WMFT and FAS by treatment group (12 BTX-A patients and 13 control patients). A, C, and E for the WMFT: (A) Mean of the 15 timed tasks (seconds); (C) Six proximal joint timed tasks; (E) Number of the 6 proximal tasks not completed in 120 seconds. B, D, and F for the FAS: (B) Mean of the 15 tasks; (D) Mean score for the 6 proximal tasks; (F) Number of proximal tasks not completed (FAS 0, task not attempted with involved arm). Abbreviation: Eval, evaluation. Archives of Physical Medicine and Rehabilitation 2012 93, 578-587DOI: (10.1016/j.apmr.2011.10.026) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Longitudinal changes (mean and 95% CI) in wrist flexion AROM, MAS for the affected wrist musculature, and the normalized SIS scores for the hand function domain and the emotion domain by treatment group (12 BTX-A patients and 13 control patients). Time trend lines are the model-based means and 95% CIs. (A) Wrist flexion AROM (degrees). (B) Affected wrist MAS (1–6 ordinal score). (C) SIS hand function domain. (D) SIS emotion domain. Abbreviation: Eval, evaluation. Archives of Physical Medicine and Rehabilitation 2012 93, 578-587DOI: (10.1016/j.apmr.2011.10.026) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions