Short Tilte:Choosing upper limb muscles for focal intervention after traumatic brain injury
Journal:Journal of Head Trauma Rehabilitation
Year, Volume, Issue, Page(s):04, 19, 2, 119-142
Article identifies common patterns of upper motor neuron syndrome (UMNS) dysfunction in the upper extremities and the muscles that are involved. Discussion focuses on choosing upper limb muscles for focal interventions in patients with traumatic brain injury (TBI) who have UMNS. Clinicians need to know which muscles cross a particular joint and whether one or more of them contribute to movement dysfunction and deformity. Once the muscles are identified, a number of focal interventions can be considered for treatment including chemodenervation, neurolysis, or surgery. Goals of relieving signs and symptoms, alleviating passive dysfunction, and improving active of voluntary dysfunction are also discussed.