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- W2056420352 abstract "To explore whether intrathecal baclofen (ITB) therapy improves ambulation in stroke survivors.Case series.Tertiary care center.Ten adults with poststroke hemiparesis who were ambulatory at the time of pump implantation.Implantation of ITB pump after inadequate control of spasticity with other interventions. Time from stroke onset to implantation averaged 28.6 months (range, 9-55mo).Customary walking speed was measured from the time required to walk 50ft (15m) at a self-selected pace. Evaluators rated spastic hypertonia and functional mobility.Statistically significant improvements occurred in walking speed, functional mobility ratings, and spasticity (P<.05) at a follow-up interval that averaged 8.9 months. Mean walking speed over 50ft improved from 36.6 to 52cm/s. Mean Modified Ashworth Scale scores in the muscles of the affected lower limb improved from 2.0 to 0.4. Normal muscle strength (5/5) was preserved in the unaffected limbs.This preliminary study suggests that ITB therapy, in combination with physical therapy, may improve walking speed and functional mobility in ambulatory individuals with poststroke spastic hemiplegia." @default.
- W2056420352 created "2016-06-24" @default.
- W2056420352 creator A5015728436 @default.
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- W2056420352 date "2003-08-01" @default.
- W2056420352 modified "2023-09-30" @default.
- W2056420352 title "Improvement in walking speed in poststroke spastic hemiplegia after intrathecal baclofen therapy: a preliminary study11A commercial party with a direct financial interest in the results of the research supporting this article has conferred or will confer a financial benefit on the author or 1 or more of the authors." @default.
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- W2056420352 doi "https://doi.org/10.1016/s0003-9993(03)00134-5" @default.
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