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Original Articles

Poststroke Hypertonicity: Upper Limb Assessment and Treatment

Pages 179-194 | Published online: 05 Jan 2015

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (7)

Robert Dymarek, Kuba Ptaszkowski, Lucyna Ptaszkowska, Mateusz Kowal, Mirosław Sopel, Jakub Taradaj & Joanna Rosińczuk. (2020) Shock Waves as a Treatment Modality for Spasticity Reduction and Recovery Improvement in Post-Stroke Adults – Current Evidence and Qualitative Systematic Review. Clinical Interventions in Aging 15, pages 9-28.
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Sheng Wang, Xin Chen, Ren Zhuang, Zhiwei Yang, Wenjun Jiang & Tong Wang. (2020) Flexors activity of affected upper extremity in stroke patients during different standing conditions and their relationships with clinical scales: a cross-sectional study. Neurological Research 42:3, pages 244-252.
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Sarah Colclough, Jodie Copley, Merrill Turpin, Emma Justins & Rachel De Monte. (2015) Occupational therapists’ perceptions of requirements for competent upper limb hypertonicity practice. Disability and Rehabilitation 37:16, pages 1416-1423.
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Sheng Li, Shuo-Hsiu Chang, Gerard E. Francisco & Monica Verduzco-Gutierrez. (2014) Acoustic Startle Reflex in Patients With Chronic Stroke at Different Stages of Motor Recovery: A Pilot Study. Topics in Stroke Rehabilitation 21:4, pages 358-370.
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Sharon R. Flinn & Kimberly Craven. (2014) Upper Limb Casting in Stroke Rehabilitation: Rationale, Options, and Techniques. Topics in Stroke Rehabilitation 21:4, pages 296-302.
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Aurore Thibaut, Camille Chatelle, Erik Ziegler, Marie-Aurélie Bruno, Steven Laureys & Olivia Gosseries. (2013) Spasticity after stroke: Physiology, assessment and treatment. Brain Injury 27:10, pages 1093-1105.
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Noureddin Nakhostin Ansari, Soofia Naghdi, Bijan Forogh, Scott Hasson, Mitra Atashband & Elham Lashgari. (2012) Development of the Persian version of the Modified Modified Ashworth Scale: translation, adaptation, and examination of interrater and intrarater reliability in patients with poststroke elbow flexor spasticity. Disability and Rehabilitation 34:21, pages 1843-1847.
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Articles from other publishers (43)

Iresha Dilhari Senarath, Randika Dinesh Thalwathte, Manoji Pathirage & Senanayake A. M. Kularatne. (2023) The effectiveness of radial extracorporeal shock wave therapy vs transcutaneous electrical nerve stimulation in the management of upper limb spasticity in chronic-post stroke hemiplegia–A randomized controlled trial. PLOS ONE 18:5, pages e0283321.
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Pieter Struyf, Lisa Tedesco Triccas, Fabienne Schillebeeckx & Filip Struyf. (2023) The Place of Botulinum Toxin in Spastic Hemiplegic Shoulder Pain after Stroke: A Scoping Review. International Journal of Environmental Research and Public Health 20:4, pages 2797.
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Adhe Rahmatullah Sugiharto, Shuhei Tsuchida, I Putu Alit Pawana, Tsutomu Terada & Masahiko Tsukamoto. (2022) EMG-based Recognition Method of Finger Movement Impairment Level on Post-Stroke Patient Based on Fugl-Meyer Assessment. EMG-based Recognition Method of Finger Movement Impairment Level on Post-Stroke Patient Based on Fugl-Meyer Assessment.
Derek Kamper, Alexander Barry, Naveen Bansal, Mary Ellen Stoykov, Kristen Triandafilou, Lynn Vidakovic, NaJin Seo & Elliot Roth. (2022) Use of cyproheptadine hydrochloride (HCl) to reduce neuromuscular hypertonicity in stroke survivors: A Randomized Trial. Journal of Stroke and Cerebrovascular Diseases 31:10, pages 106724.
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Sandra Calvo, Natalia Brandín-de la Cruz, Carolina Jiménez-Sánchez, Elisabeth Bravo-Esteban & Pablo Herrero. (2021) Effects of dry needling on function, hypertonia and quality of life in chronic stroke: a randomized clinical trial. Acupuncture in Medicine 40:4, pages 312-321.
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Mirjam Bonanno, Rosaria De Luca, William Torregrossa, Paolo Tonin & Rocco Salvatore Calabrò. (2022) Moving toward Appropriate Motor Assessment Tools in People Affected by Severe Acquired Brain Injury: A Scoping Review with Clinical Advices. Healthcare 10:6, pages 1115.
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Chuanxin M. Niu, Chih-Hong Chou, Yong Bao, Tong Wang, Lin Gu, Xiao Zhang, Lijun Cui, Zhi Xuan, Cheng Zhuang, Si Li, Zhi Chen, Ning Lan & Qing Xie. (2022) A pilot study of synergy-based FES for upper-extremity poststroke rehabilitation. Neuroscience Letters 780, pages 136621.
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Daniel Fernández Sanchis, Juan Nicolás Cuenca Zaldívar, Sandra Calvo, Pablo Herrero & Manuel Gómez Barrera. (2021) Cost-effectiveness of upper extremity dry needling in the rehabilitation of patients with stroke. Acupuncture in Medicine 40:2, pages 160-168.
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Xiaoyi Shu, Ciara McConaghy & Alec Knight. (2021) Validity and reliability of the Modified Tardieu Scale as a spasticity outcome measure of the upper limbs in adults with neurological conditions: a systematic review and narrative analysis. BMJ Open 11:12, pages e050711.
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Tao Fan, Xiangying Zhou, Peichen He, Xiaojia Zhan, Peng Zheng, Rong Chen, Rongdong Li, Rihui Li, Mingyang Wei, Xue Zhang & Guozhi Huang. (2021) Effects of Radial Extracorporeal Shock Wave Therapy on Flexor Spasticity of the Upper Limb in Post-stroke Patients: Study Protocol for a Randomized Controlled Trial. Frontiers in Neurology 12.
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Dongjune Chang, Justin Hunt, John Atkins & Hyunglae Lee. (2021) Validation of a Novel Parallel-Actuated Shoulder Exoskeleton Robot for the Characterization of Human Shoulder Impedance. Validation of a Novel Parallel-Actuated Shoulder Exoskeleton Robot for the Characterization of Human Shoulder Impedance.
Marco Germanotta, Valerio Gower, Dionysia Papadopoulou, Arianna Cruciani, Cristiano Pecchioli, Rita Mosca, Gabriele Speranza, Catuscia Falsini, Francesca Cecchi, Federica Vannetti, Angelo Montesano, Silvia Galeri, Furio Gramatica & Irene Aprile. (2020) Reliability, validity and discriminant ability of a robotic device for finger training in patients with subacute stroke. Journal of NeuroEngineering and Rehabilitation 17:1.
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Jihun Kim, Geonhui Lee, Hanjin Jo, Wookhyun Park, Yu Shin Jin, Ho Dong Kim & Jaehyo Kim. (2020) A Wearable Soft Robot for Stroke Patients’ Finger Occupational Therapy and Quantitative Measures on the Joint Paralysis. International Journal of Precision Engineering and Manufacturing 21:12, pages 2419-2426.
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Yang Zheng & Xiaogang Hu. (2020) Elicited upper limb motions through transcutaneous cervical spinal cord stimulation. Journal of Neural Engineering 17:3, pages 036001.
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Ian James Baguley, Hannah Louise Holman Barden, Emmanuel Jesulola & Melissa Therese Nott. (2019) Botulinum toxin A injection in the management of shoulder muscle overactivity: A scoping review. Brain Impairment 21:1, pages 86-98.
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Leroy R. Lindsay, Diane A. Thompson & Michael W. O’Dell. (2020) Updated Approach to Stroke Rehabilitation. Medical Clinics of North America 104:2, pages 199-211.
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Ho Lam Heung, Zhi Qiang Tang, Xiang Qian Shi, Kai Yu Tong & Zheng Li. (2020) Soft Rehabilitation Actuator With Integrated Post-stroke Finger Spasticity Evaluation. Frontiers in Bioengineering and Biotechnology 8.
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Nojoud AlHakeem, Elizabeth Anne Ouellette, Francesco Travascio & Shihab Asfour. (2020) Surgical Intervention for Spastic Upper Extremity Improves Lower Extremity Kinematics in Spastic Adults: A Collection of Case Studies. Frontiers in Bioengineering and Biotechnology 8.
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Megna Marisa, Marvulli Riccardo, Farì Giacomo, Gallo Giulia, Dicuonzo Franca, Fiore Pietro & Ianieri Giancarlo. (2019) Pain and Muscles Properties Modifications After Botulinum Toxin Type A (BTX-A) and Radial Extracorporeal Shock Wave (rESWT) Combined Treatment. Endocrine, Metabolic & Immune Disorders - Drug Targets 19:8, pages 1127-1133.
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Yang Zheng & Xiaogang Hu. (2019) Elicited Finger and Wrist Extension Through Transcutaneous Radial Nerve Stimulation. IEEE Transactions on Neural Systems and Rehabilitation Engineering 27:9, pages 1875-1882.
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Huaide Qiu, Jiahui Li, Ting Zhou, Hongxing Wang & Jianan Li. (2019) Electrical Stimulation in the Treatment of Hemiplegic Shoulder Pain. American Journal of Physical Medicine & Rehabilitation 98:4, pages 280-286.
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Adriano Araújo de Carvalho, Edson Meneses da Silva Filho, Rayssa Silva do Nascimento, Sarah Fernanda Dantas de Medeiros, Núbia Maria Freire Vieira Lima, Enio Walker Azevedo Cacho & Roberta de Oliveira Cacho. (2019) Análise da ativação muscular durante o movimento de alcance nas condições ativo, ativo-assistido e autoassistido em pacientes pós-AVE. Fisioterapia e Pesquisa 26:1, pages 31-36.
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W. Geoffrey Wright. (2019) Tonic Neuromuscular Processing Affects Postural Adaptation Differently in Aging and Parkinson's Disease. Frontiers in Neurology 9.
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Isabela A. Marques, Camille M. Alves, Andressa R. Rezende, Marco Aurélio M. Silva, Robson G. da Cruz, Vicente F. LucenaJr.Jr. & Eduardo L.M. Naves. (2019) Evaluating the spasticity level during the rehabilitation process: a survey of traditional methods and a new trend. Procedia Computer Science 160, pages 647-652.
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Deborah L. Morawski, René Padilla & Vanessa Jewell. 2019. Occupational Therapy with Elders. Occupational Therapy with Elders 268 281 .
Christopher C. Duncan & Steven R. Edgley. 2019. Atlas of Orthoses and Assistive Devices. Atlas of Orthoses and Assistive Devices 146 156.e2 .
Yongjie Lin, Guowei Wang & Bingchen Wang. (2018) Rehabilitation treatment of spastic cerebral palsy with radial extracorporeal shock wave therapy and rehabilitation therapy. Medicine 97:51, pages e13828.
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Laura Black & Deborah Gaebler-Spira. (2018) Nonsurgical Treatment Options for Upper Limb Spasticity. Hand Clinics 34:4, pages 455-464.
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Claudia J.W. Haarman, Edsko E.G. Hekman, Gerdienke B. Prange & Herman van der Kooij. (2018) Joint Stiffness Compensation for Application in the EXTEND Hand Orthosis. Joint Stiffness Compensation for Application in the EXTEND Hand Orthosis.
Antonino Leo, Antonino Naro, Francesco Molonia, Provvidenza Tomasello, Ileana Saccà, Alessia Bramanti, Margherita Russo, Placido Bramanti, Angelo Quartarone & Rocco Salvatore Calabrò. (2017) Spasticity Management: The Current State of Transcranial Neuromodulation. PM&R 9:10, pages 1020-1029.
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Billie A. Schultz & Erica Bellamkonda. (2017) Management of Medical Complications During the Rehabilitation of Moderate-Severe Traumatic Brain Injury. Physical Medicine and Rehabilitation Clinics of North America 28:2, pages 259-270.
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Antonino Naro, Antonino Leo, Margherita Russo, Carmela Casella, Antonio Buda, Aurelio Crespantini, Bruno Porcari, Luigi Carioti, Luana Billeri, Alessia Bramanti, Placido Bramanti & Rocco Salvatore Calabrò. (2017) Breakthroughs in the spasticity management: Are non-pharmacological treatments the future?. Journal of Clinical Neuroscience 39, pages 16-27.
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Veerawat Phongtankuel, Prin X. Amorapanth & Eugenia L. Siegler. (2016) Pain in the Geriatric Patient with Advanced Chronic Disease. Clinics in Geriatric Medicine 32:4, pages 651-661.
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Robert Dymarek, Jakub Taradaj & Joanna Rosi?czuk. (2016) Extracorporeal Shock Wave Stimulation as Alternative Treatment Modality for Wrist and Fingers Spasticity in Poststroke Patients: A Prospective, Open-Label, Preliminary Clinical Trial. Evidence-Based Complementary and Alternative Medicine 2016, pages 1-10.
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Richard D. Wilson & John Chae. (2015) Hemiplegic Shoulder Pain. Physical Medicine and Rehabilitation Clinics of North America 26:4, pages 641-655.
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Jonathan R. Manara, James Taylor & Matthew Nixon. (2015) Management of shoulder pain after a cerebrovascular accident or traumatic brain injury. Journal of Shoulder and Elbow Surgery 24:5, pages 823-829.
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Jonathan Birns & Tehmina S. Irani. 2015. Management of Post-Stroke Complications. Management of Post-Stroke Complications 227 240 .
Minki Sin, Won-Seok Kim, Daegeun Park, Yu-Sun Min, Woo Jin Kim, Kyujin Cho & Nam-Jong Paik. (2014) Electromyographic analysis of upper limb muscles during standardized isotonic and isokinetic robotic exercise of spastic elbow in patients with stroke. Journal of Electromyography and Kinesiology 24:1, pages 11-17.
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Sepideh Pooyania & Brenda Semenko. (2014) Botulinum toxin type-A (BoNTA) and dynamic wrist-hand orthoses versus orthoses alone for the treatment of spastic-paretic upper extremity in chronic stroke patients. Open Journal of Therapy and Rehabilitation 02:01, pages 12-18.
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K. S. Sunnerhagen & G. E. Francisco. (2013) Enhancing patient-provider communication for long-term post-stroke spasticity management. Acta Neurologica Scandinavica, pages n/a-n/a.
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Katharina S. SunnerhagenJohn OlverGerard E. Francisco. (2013) Assessing and treating functional impairment in poststroke spasticity. Neurology 80:3_supplement_2.
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Vincent C. K. CheungAndrea Turolla, Michela Agostini, Stefano Silvoni, Caoimhe Bennis, Patrick Kasi, Sabrina Paganoni, Paolo Bonato & Emilio Bizzi. (2012) Muscle synergy patterns as physiological markers of motor cortical damage. Proceedings of the National Academy of Sciences 109:36, pages 14652-14656.
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Domenico FormicaSteven K. CharlesLoredana ZolloEugenio GuglielmelliNeville Hogan & Hermano I. Krebs. (2012) The passive stiffness of the wrist and forearm. Journal of Neurophysiology 108:4, pages 1158-1166.
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