Robot-assisted therapy and botulinum toxin for upper limb ataxia: A case report

S. Straudi, G. Berto, M. G. Benedetti, C. Foti, L. Lutzoni, N. Basaglia

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Upper limb ataxia is one of the most common motor disorders associated with cerebellar damage and it might lead to motor impairment and disability. OBJECTIVE: In this study, a subject with disabling upper limb ataxia and intention tremor underwent a six weeks intervention of robot-assisted training combined with Botulinum Toxin Type A (BTX-A). METHODS: Robot-assisted therapy which includes repetitive, goal-directed reaching movements was administered after upper-limb BTX-A injections. Improvements in arm coordination and motor performance were assessed throughout a kinematic analysis and an activity daily living-based questionnaire. RESULTS: After this six weeks training program all spatio-temporal parameters were improved with no additional functional gains. CONCLUSIONS: The positive effects on motor coordination in our subject might help to design clinical trials that combine BTX-A injections and robot-assisted therapy in order to improve upper-limb coordination in subjects with ataxia. Furthermore, if exercises focused on ADLs will be included, they might help to regain a functional use of the arm.

Original languageEnglish
Pages (from-to)23-26
Number of pages4
JournalTechnology and Disability
Volume26
Issue number1
DOIs
Publication statusPublished - 2014

Fingerprint

Botulinum Toxins
Ataxia
Upper Extremity
Type A Botulinum Toxins
Tremor
Activities of Daily Living
Arm
Injections
Therapeutics
Biomechanical Phenomena
Clinical Trials
Education

Keywords

  • ataxia
  • botulinum toxin
  • Rehabilitation
  • robot-assisted therapy

ASJC Scopus subject areas

  • Rehabilitation
  • Health Informatics

Cite this

Robot-assisted therapy and botulinum toxin for upper limb ataxia : A case report. / Straudi, S.; Berto, G.; Benedetti, M. G.; Foti, C.; Lutzoni, L.; Basaglia, N.

In: Technology and Disability, Vol. 26, No. 1, 2014, p. 23-26.

Research output: Contribution to journalArticle

Straudi, S. ; Berto, G. ; Benedetti, M. G. ; Foti, C. ; Lutzoni, L. ; Basaglia, N. / Robot-assisted therapy and botulinum toxin for upper limb ataxia : A case report. In: Technology and Disability. 2014 ; Vol. 26, No. 1. pp. 23-26.
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