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

Sebestina Anita Dsouza

doi:10.5463/dcid.v24i2.184

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

Authors

Sebestina Anita Dsouza Department of Occupational Therapy, School of Allied Health Sciences, Manipal University, Karnataka

DOI:

https://doi.org/10.5463/dcid.v24i2.184

Keywords:

Women with disabilities, movement disorders, rehabilitation, orthoses, electrical stimulation, activity adaptations

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.

Author Biography

Sebestina Anita Dsouza, Department of Occupational Therapy, School of Allied Health Sciences, Manipal University, Karnataka

The author is associated with the School of Allied Health Sciences, where she is the Coordinator of the Bachelor of Occupational Therapy programme and a guide for students of masters in occupational therapy with specialization in neurorehabilitation.

She is also in-charge of the Neurorehabilitation Unit of the department. Her areas of interest include neurorehabilitation, especially, retraining functional independence, stroke, movement disorders, geriatrics and repetitive strain injuries.

Downloads

Published

2013-07-28

How to Cite

Dsouza SA. An Integrated Multimodal Intervention of Remedial and Adaptive Approaches in Secondary Dystonia of Hand: A Case Report. DCIDJ [Internet]. 2013 Jul. 28 [cited 2024 Apr. 19];24(2):100-1. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/117

Download Citation

Issue

Vol. 24 No. 2 (2013): Summer

Section

Case Studies

License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License By-NC-ND 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

DCIDJ has been moved from Liliane Foundation to the University of Gondar

July 31, 2023

We are pleased to inform you that the Disability, CBR, and Inclusive Development Journal (DCIDJ) has moved from the Liliane Foundation (https://dcidj.org) to the University of Gondar (https://dcidj.uog.edu.et). The University of Gondar is the only university that owns the CBR Program in Ethiopia. The CBR program was established in 2005 in partnership with Light for the World and Save the Children to alleviate various problems faced by persons with disabilities due to lack of access to rehabilitation services and community awareness. The University of Gondar (Ethiopia) and Queen’s University (Canada), supported by the Mastercard Foundation, have developed a 10-year partnership to advance inclusive higher education for young people with disabilities, develop new occupational therapy programs, and advance research for inclusive education and community-based rehabilitation in Africa. Hence, the University of Gondar is an excellent fit to manage the journal as it has extensive experience in the field of disability, CBR, and inclusive development.

The DCIDJ is an online journal with a 33-year-old history of publishing research in the broad field of rehabilitation and disability inclusion. It is an open-access journal that aims to provide a platform for high-quality and innovative research that includes a diverse range of perspectives, including academics, researchers, scholars, and postgraduate students. The journal covers topics such as disability rights, inclusive education, community-based rehabilitation, disability and development, and more. The journal is a quarterly publication that will be available online in four issues per year. We would like to acknowledge the good relationship with the Liliane Foundation and Enablement who chose the University of Gondar as a sustainable base as this university is one of the leading universities in Ethiopia in the field of disability, development, and rehabilitation. This is a positive step towards enhancing the dissemination and impact of research and knowledge in the CBR/CBID community.