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The most effective interventions to decrease muscle tone and improve upper extremity function in elderly stroke patients with arm spasticity : Systematic Review

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The most effective interventions to decrease muscle tone and improve upper extremity function in elderly stroke patients with arm spasticity : Systematic Review

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Samenvatting

Background and Purpose – Severe hypertonia of upper limb muscles is a frequent complication after a stroke as serious contractures may develop. Restrictions aggravate activities of daily living (ADL) and result in reduced independence and a diminished quality of life. The purpose of this study is to review the effects and evidence of available treatment regimes to find the most effective intervention to decrease muscle tone and improve upper extremity function in stroke patients. Methods – Databases Cochrane Collaboration, PubMed, MEDLINE, PiCarta and Science Direct were researched and out of 100 screened articles, 23 were judged by two physiotherapy students using specific topic related criteria list. Within these 23 articles, 8 articles concentrated on decreasing spasticity, 7 on improving function and another 8 articles included both, decreasing spasticity and improving function. Results – Patients receiving the botulinum toxin type A injections showed significant reduction in MAS, whereas the control group did not show significant differences. Patients receiving CIMT significantly increased in FMA, ARAT, MAL, WMFT, AAUT and/or FIM scores, compared to a control group. Conclusion – Botulinum toxin type A in combination with an intensive physiotherapeutic approach, concentrating on task specific and repetitive training of the affected arm in daily activities, appears to have the best influence to decrease muscle tone and improve upper extremity function in elderly stroke patients with a spastic arm.

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OrganisatieHogeschool van Amsterdam
InstituutGezondheid
Gepubliceerd in
Jaar2009
TypeBachelorscriptie
TaalNederlands

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