Association between postural patterns of spastic upper extremity and functional independence after TBI and stroke

Useless. What are we supposed to do with these associations to get to 100% recovery?

 Association between postural patterns of spastic upper extremity and functional independence after TBI and stroke

NeuroRehabilitation , Volume 46(4) , Pgs. 551-559.

NARIC Accession Number: J84278.  What's this?
ISSN: 1053-8135.
Author(s): Doussoulin, Arlette ; Bacco, Jose L. ; Rivas, Claudia ; Saiz, Jose L..
Publication Year: 2020.
Number of Pages: 9.

Abstract: 

Study determined the association between spastic patterns of the upper limb, wrist, fingers, and thumb, and independence in everyday activities after a stroke or traumatic brain injury (TBI). Data were collected from 206 individuals recruited from 17 rehabilitation centers in different regions of Chile. Clinical evaluation was carried out, including determination of the postural pattern of the upper extremity according to Hefter’s taxonomy and postural pattern classification of the wrist, fingers, and thumb. Functional independence was evaluated using the Functional Independence Measure (FIM) and the Barthel Index (BI). Univariate between-subject analyses of variance were used to examine associations of the four pattern classifications with the two independence measures, FIM and BI. Evaluation by Hefter’s patterns shows that the most prevalent is Pattern 3, accounting for more than half of the cases. Patterns 1 and 4 were the least frequent; both are characterized by presence of extreme postures in the joints of the upper extremity, with high components of spasticity and dystonia. In the wrist taxonomy, the neutral ulnarized pattern was the most prevalent. In the case of the fingers, the most frequent pattern is flexion with simultaneous participation of the deep and superficial flexor muscles of the fingers; for the thumb, it is House Pattern 3. Evaluation by FIM and BI revealed a significant co-occurrence of Hefter’s Pattern 1 with greater functional compromise. Results suggest the postural pattern of the upper limb after TBI or stroke is related to the patient’s functional independence. Specifically, Pattern 1 tends to co-occur with low independence.
Descriptor Terms: BRAIN INJURIES, CLASSIFICATION SYSTEMS, DAILY LIVING, FUNCTIONAL STATUS, LIMBS, MOTOR SKILLS, SPASTICITY, STROKE.


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Citation: Doussoulin, Arlette , Bacco, Jose L. , Rivas, Claudia , Saiz, Jose L.. (2020). Association between postural patterns of spastic upper extremity and functional independence after TBI and stroke.  NeuroRehabilitation , 46(4), Pgs. 551-559. Retrieved 9/19/2020, from REHABDATA database.