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NEUROLOGY 2004;63:2176-2177
© 2004 American Academy of Neurology
Brief Communications

Intensive training in chronic upper limb hemiparesis does not increase spasticity or synergies

Annette Sterr, PhD and Susanna Freivogel, PT

From the Department of Psychology (Dr. Sterr), University of Surrey, Guildford, UK; and Rehabilitation Clinic Hegau Jugendwerk (S. Freivogel), Gailingen, Germany.

Address correspondence and reprint requests to Dr. Annette Sterr, Department of Psychology, University of Surrey, Guildford, GU2 7XH, UK; e-mail: a.sterr{at}surrey.ac.uk

The authors assessed whether intensive training increases spasticity and leads to the development of "pathologic movement patterns," a concern often raised by Bobath-trained therapists. The authors used a baseline-control repeated-measures test to study 29 patients with chronic upper limb hemiparesis who received daily shaping training. Their results suggest that training has no adverse effects on muscle tone and movement quality.

Received April 22, 2004. Accepted in final form July 22, 2004.


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