An Integrated Multimodal Intervention of Remedial and Adaptive Approaches in Secondary Dystonia of Hand: A Case Report

D'souza, Sebestina A (2013) An Integrated Multimodal Intervention of Remedial and Adaptive Approaches in Secondary Dystonia of Hand: A Case Report. Disability, CBR and Inclusive Development, 24 (2). pp. 100-110.

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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.

Item Type: Article
Uncontrolled Keywords: Women with disabilities; Movement disorders; Rehabilitation; Oorthoses; Electrical stimulation; Activity adaptations
Subjects: Allied Health > MCOAHS Manipal > Occupational Therapy
Depositing User: KMC Manipal
Date Deposited: 21 Jul 2014 04:28
Last Modified: 21 Jul 2014 04:28
URI: http://eprints.manipal.edu/id/eprint/140187

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