Measuring spasticity and fine motor control (Pinch) change in the hand after botulinum toxin-A injection using dynamic computerized hand dynamometry

Hannah L. Holman Barden; Ian James Baguley; Melissa Therese Nott; Christine Chapparo

doi:10.1016/j.apmr.2014.05.017

Measuring spasticity and fine motor control (Pinch) change in the hand after botulinum toxin-A injection using dynamic computerized hand dynamometry

Hannah L. Holman Barden^*, Ian James Baguley, Melissa Therese Nott, Christine Chapparo

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

Objectives: To evaluate change in fine motor hand performance and to investigate the relationship between existing clinical measures and dynamic computerized dynamometry (DCD) after botulinum toxin-A (BTX-A) injections for adults with upper limb spasticity. Design: Pretest/posttest clinical intervention study. Setting: Hospital outpatient spasticity clinics. Participants: A convenience sample of adults (N=28; mean age, 51y) with upper limb spasticity after acquired brain injury. Interventions: BTX-A injections for upper limb spasticity management. Main Outcome Measures: DCD protocol using a piezoelectric pinch meter (termed DCD[pinch]); current clinical upper limb measures: Modified Ashworth Scale, Tardieu Scale, Action Research Arm Test, Michigan Hand Outcomes Questionnaire, and Goal Attainment Scale. Results: BTX-A produced a significant change on DCD(pinch) and some current clinical measures, with correlations observed between DCD(pinch) and current clinical measures. Conclusions: DCD(pinch) sensitively and objectively assessed the effects of BTX-A on upper limb spasticity during a simulated functionally based pinch and release task.

Original language	English
Pages (from-to)	2402-2409
Number of pages	8
Journal	Archives of Physical Medicine and Rehabilitation
Volume	95
Issue number	12
DOIs	https://doi.org/10.1016/j.apmr.2014.05.017
Publication status	Published - Dec 2014
Externally published	Yes

Keywords

Adult
Muscle spasticity
Muscle strength dynamometer
Pinch strength
Rehabilitation
Upper extremity

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10.1016/j.apmr.2014.05.017

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@article{16b89807a3f54628ab9b390817fb8fd7,

title = "Measuring spasticity and fine motor control (Pinch) change in the hand after botulinum toxin-A injection using dynamic computerized hand dynamometry",

abstract = "Objectives: To evaluate change in fine motor hand performance and to investigate the relationship between existing clinical measures and dynamic computerized dynamometry (DCD) after botulinum toxin-A (BTX-A) injections for adults with upper limb spasticity. Design: Pretest/posttest clinical intervention study. Setting: Hospital outpatient spasticity clinics. Participants: A convenience sample of adults (N=28; mean age, 51y) with upper limb spasticity after acquired brain injury. Interventions: BTX-A injections for upper limb spasticity management. Main Outcome Measures: DCD protocol using a piezoelectric pinch meter (termed DCD[pinch]); current clinical upper limb measures: Modified Ashworth Scale, Tardieu Scale, Action Research Arm Test, Michigan Hand Outcomes Questionnaire, and Goal Attainment Scale. Results: BTX-A produced a significant change on DCD(pinch) and some current clinical measures, with correlations observed between DCD(pinch) and current clinical measures. Conclusions: DCD(pinch) sensitively and objectively assessed the effects of BTX-A on upper limb spasticity during a simulated functionally based pinch and release task.",

keywords = "Adult, Muscle spasticity, Muscle strength dynamometer, Pinch strength, Rehabilitation, Upper extremity",

author = "Barden, \{Hannah L. Holman\} and Baguley, \{Ian James\} and Nott, \{Melissa Therese\} and Christine Chapparo",

year = "2014",

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doi = "10.1016/j.apmr.2014.05.017",

language = "English",

volume = "95",

pages = "2402--2409",

journal = "Archives of Physical Medicine and Rehabilitation",

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publisher = "W. B. Saunders",

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Measuring spasticity and fine motor control (Pinch) change in the hand after botulinum toxin-A injection using dynamic computerized hand dynamometry. / Barden, Hannah L. Holman; Baguley, Ian James; Nott, Melissa Therese et al.
In: Archives of Physical Medicine and Rehabilitation, Vol. 95, No. 12, 12.2014, p. 2402-2409.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Measuring spasticity and fine motor control (Pinch) change in the hand after botulinum toxin-A injection using dynamic computerized hand dynamometry

AU - Barden, Hannah L. Holman

AU - Baguley, Ian James

AU - Nott, Melissa Therese

AU - Chapparo, Christine

PY - 2014/12

Y1 - 2014/12

N2 - Objectives: To evaluate change in fine motor hand performance and to investigate the relationship between existing clinical measures and dynamic computerized dynamometry (DCD) after botulinum toxin-A (BTX-A) injections for adults with upper limb spasticity. Design: Pretest/posttest clinical intervention study. Setting: Hospital outpatient spasticity clinics. Participants: A convenience sample of adults (N=28; mean age, 51y) with upper limb spasticity after acquired brain injury. Interventions: BTX-A injections for upper limb spasticity management. Main Outcome Measures: DCD protocol using a piezoelectric pinch meter (termed DCD[pinch]); current clinical upper limb measures: Modified Ashworth Scale, Tardieu Scale, Action Research Arm Test, Michigan Hand Outcomes Questionnaire, and Goal Attainment Scale. Results: BTX-A produced a significant change on DCD(pinch) and some current clinical measures, with correlations observed between DCD(pinch) and current clinical measures. Conclusions: DCD(pinch) sensitively and objectively assessed the effects of BTX-A on upper limb spasticity during a simulated functionally based pinch and release task.

AB - Objectives: To evaluate change in fine motor hand performance and to investigate the relationship between existing clinical measures and dynamic computerized dynamometry (DCD) after botulinum toxin-A (BTX-A) injections for adults with upper limb spasticity. Design: Pretest/posttest clinical intervention study. Setting: Hospital outpatient spasticity clinics. Participants: A convenience sample of adults (N=28; mean age, 51y) with upper limb spasticity after acquired brain injury. Interventions: BTX-A injections for upper limb spasticity management. Main Outcome Measures: DCD protocol using a piezoelectric pinch meter (termed DCD[pinch]); current clinical upper limb measures: Modified Ashworth Scale, Tardieu Scale, Action Research Arm Test, Michigan Hand Outcomes Questionnaire, and Goal Attainment Scale. Results: BTX-A produced a significant change on DCD(pinch) and some current clinical measures, with correlations observed between DCD(pinch) and current clinical measures. Conclusions: DCD(pinch) sensitively and objectively assessed the effects of BTX-A on upper limb spasticity during a simulated functionally based pinch and release task.

KW - Adult

KW - Muscle spasticity

KW - Muscle strength dynamometer

KW - Pinch strength

KW - Rehabilitation

KW - Upper extremity

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DO - 10.1016/j.apmr.2014.05.017

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VL - 95

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JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

IS - 12

ER -

Measuring spasticity and fine motor control (Pinch) change in the hand after botulinum toxin-A injection using dynamic computerized hand dynamometry

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Keywords

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