Adhesive taping vs. daily manual muscle stretching and splinting after botulinum toxin ... - 1 views
-
allisonlarison on 09 Aug 16In my rotation, we have treated a few stroke patients after BTX-A injections using splinting and a few other treatment methods. This article discovers the comparison of adhesive taping vs. daily manual muscle stretching and splinting after injections. A single-blind randomized control trail with 70 patients was conducted with patients experiencing wrist and finger flexor muscle spasticity post-stroke. After receiving the injections, patients were randomly divided into two groups. Group A consisted of adhesive taping. Adhesive taping is first placed on forearm and fingers and left for 10 days with daily checks. The tape provides traction on hypertonic muscles. Group B consisted of patient's receiving manual muscle stretching of injected muscles for 30 min and passive articular mobilization of wrist and fingers to maintain muscle length. Custom palmar splints with made for each patient and positioned for maximum stretching. Outcome measures used to to measure spasticity consisted of the Modified Ashworth scale, related disability with Disability Assessment Scale and finger positions at rest. At the end of the trial, it was discovered that patient in Group A, adhesive taping, had a significantly decrease in spasticity scores. Some limitations included lack of placebo group and longer follow-up data.