An integrated multimodal intervention of remedial and adaptive approaches in secondary dystonia of hand: A case report

Research output: Contribution to journalArticle

Abstract

Purpose: To evaluate an integrated approach of remedial and adaptive interventions that were employed to improve functional independence of a young woman with childhood-onset secondary dystonia of the right hand. Methods: The intervention involved inhibiting dystonic movements, functional training with correct movement patterns, and activity modifications. The techniques combined multiple modalities (static and dynamic orthoses, electrical stimulation, purposeful activities, and adaptations), therapeutic exercises (stretching, inhibitory strategies and strengthening), sensorimotor training and motor learning strategies. Results: After a year-long intervention of supervised therapy sessions and home programmes, there were improvements in dystonia severity (25%), hand functions (38%) and disability scores (30.3%). Conclusion: The intervention outlined is a positive therapeutic approach to enhance function in secondary dystonia of the hand.

Original languageEnglish
Pages (from-to)100-110
Number of pages11
JournalAsia Pacific Disability Rehabilitation Journal
Volume24
Issue number2
DOIs
Publication statusPublished - 08-08-2013

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Dystonic Disorders
Splints
Hand
Dystonia
Electric Stimulation
Therapeutics
Learning
Exercise

All Science Journal Classification (ASJC) codes

  • Research and Theory
  • Fundamentals and skills
  • Community and Home Care

Cite this

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abstract = "Purpose: To evaluate an integrated approach of remedial and adaptive interventions that were employed to improve functional independence of a young woman with childhood-onset secondary dystonia of the right hand. Methods: The intervention involved inhibiting dystonic movements, functional training with correct movement patterns, and activity modifications. The techniques combined multiple modalities (static and dynamic orthoses, electrical stimulation, purposeful activities, and adaptations), therapeutic exercises (stretching, inhibitory strategies and strengthening), sensorimotor training and motor learning strategies. Results: After a year-long intervention of supervised therapy sessions and home programmes, there were improvements in dystonia severity (25{\%}), hand functions (38{\%}) and disability scores (30.3{\%}). Conclusion: The intervention outlined is a positive therapeutic approach to enhance function in secondary dystonia of the hand.",
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AB - Purpose: To evaluate an integrated approach of remedial and adaptive interventions that were employed to improve functional independence of a young woman with childhood-onset secondary dystonia of the right hand. Methods: The intervention involved inhibiting dystonic movements, functional training with correct movement patterns, and activity modifications. The techniques combined multiple modalities (static and dynamic orthoses, electrical stimulation, purposeful activities, and adaptations), therapeutic exercises (stretching, inhibitory strategies and strengthening), sensorimotor training and motor learning strategies. Results: After a year-long intervention of supervised therapy sessions and home programmes, there were improvements in dystonia severity (25%), hand functions (38%) and disability scores (30.3%). Conclusion: The intervention outlined is a positive therapeutic approach to enhance function in secondary dystonia of the hand.

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