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Effects of dynamic lycra orthosis as an adjunct to rehabilitation after botulinum toxin-A injection of the upper-limb in adults following stroke: A single-blinded randomized controlled pilot study

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dc.contributor.authorKARADAĞ SAYGI, NAİME EVRİM
dc.contributor.authorsGiray, Esra; Atalay, Kardelen Gencer; Eren, Nurullah; Gunduz, Osman Hakan; Karadag-Saygi, Evrim
dc.date.accessioned2022-03-12T22:29:41Z
dc.date.available2022-03-12T22:29:41Z
dc.date.issued2020
dc.description.abstractBackground: Dynamic lycra splints are proposed to modify hypertonicity due to their characteristics - neutral warmth, circumferential pressure, and creating a low-intensity prolonged stretch on hypertonic muscles - to contribute to increased sensory awareness of the involved limb. Objectives: The aim of this study was to investigate the effects of dynamic lycra orthosis as an adjunct to botulinum toxin-A injection and rehabilitation of the upper-limb in adults following stroke. Methods: Patients who had suffered a stroke more than three months previously were randomized into two groups: lycra sleeve plus rehabilitation (n = 10) and only-rehabilitation group (n = 10). After botulinum toxin injection, both groups underwent an upper-limb rehabilitation program. The intervention group wore a lycra sleeve for eight hours a day, five days a week for three weeks in addition to the rehabilitation program. Fugl Meyer upper-limb motor score, Motricity index, Modified Ashworth scale, Box and Block test, Stroke Impact Scale and change in touch-detection thresholds of the fingers measured via Semmes-Weinstein monofilaments were assessed by blinded investigators at before treatment, post-treatment (at 3 weeks) and three months post-treatment. This trial is registered with Clinicaltrials.gov, number NCT03546959. Results: There were no differences between groups in terms of Fugl Meyer upper-limb motor score, Motricity Index, Modified Ashworth scale, Box and Block test, Stroke Impact Scale and change in light touch threshold at any follow-up time points. Conclusions: Using lycra splints as an adjunct to an upper-limb rehabilitation program after stroke did not provide additional benefit in spasticity, upper-limb motor function, light touch threshold of fingers or stroke-specific quality-of-life.
dc.identifier.doi10.1080/10749357.2019.1704371
dc.identifier.eissn1945-5119
dc.identifier.issn1074-9357
dc.identifier.pubmed31868130
dc.identifier.urihttps://hdl.handle.net/11424/235401
dc.identifier.wosWOS:000503961500001
dc.language.isoeng
dc.publisherTAYLOR & FRANCIS LTD
dc.relation.ispartofTOPICS IN STROKE REHABILITATION
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBotulinum toxin
dc.subjectlycra
dc.subjectorthoses
dc.subjectupper limb
dc.subjectrehabilitation
dc.subjectstroke
dc.subjectSPASTICITY
dc.titleEffects of dynamic lycra orthosis as an adjunct to rehabilitation after botulinum toxin-A injection of the upper-limb in adults following stroke: A single-blinded randomized controlled pilot study
dc.typearticle
dspace.entity.typePublication
local.avesis.id636a7764-0b74-4882-9ea4-f6f822dc99db
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages9
local.journal.quartileQ2
oaire.citation.endPage481
oaire.citation.issue6
oaire.citation.startPage473
oaire.citation.titleTOPICS IN STROKE REHABILITATION
oaire.citation.volume27
relation.isAuthorOfPublication5ac4517a-f739-4f83-b6fc-a6f81630bca8
relation.isAuthorOfPublication.latestForDiscovery5ac4517a-f739-4f83-b6fc-a6f81630bca8

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