Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Neural tension technique is no different from random passive movements in reducing spasticity in patients with traumatic brain injury

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Muscle power is an important measure to detect deficits in muscle function in hip osteoarthritis: a cross-sectional study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Physical and social factors determining quality of life for veterans with lower-limb amputation(s): a systematic review

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. The experience of patients with fear-avoidance belief hospitalised for low back pain - a qualitative study

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Lejringsbetingede skæve hoveder hos spædbørn kan forebygges

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Jakob Lorentzen
  • Dorthe Nielsen
  • Karl Holm
  • Susanne Baagøe
  • Michael James Grey
  • Jens B Nielsen
View graph of relations
Purpose: Neural tension technique (NTT) is a therapy believed to reduce spasticity and to increase range of motion (ROM). This study compared the ability of NTT and random passive movements (RPMs) to reduce spasticity in the knee flexors in 10 spastic patients with brain injury. Methods: An RCT study with crossover design evaluated muscle tone measured by: 1) hand-held dynamometer; 2) Modified Ashworth Scale (MAS); 3) and ROM by; 4) angles of resistance onset "catch" (R1) compensatory movement (R2); and 5) 'subjectively perceived reduction in muscle tone'. Outcome measures were recorded by three raters before and after a single treatment session. Results: Objective stiffness measured with the hand-held device showed no significant changes for the NTT or RPM (p ≥ 0.09-0.79). The subjective measures showed significant changes after the NTT for the non-blinded rater (MAS: p <0.05: R1: p <0.05; R2: p <0.05), but for the blinded rater a significant reduction was found only for R1 (p <0.05) and R2 (p <0.05). For the non-blinded rater intervention effects were found for R1 (p <0.01), R2 (p <0.01) and subjectively perceived tone reduction (p <0.01). For the blinded rater no intervention effect was found. Conclusions: An objective evaluation of NTT demonstrates that it does not reduce spasticity. However, it does increase ROM with the same effect as RPM. [Box: see text].
Original languageEnglish
JournalDisability and Rehabilitation
Volume34
Issue number23
Pages (from-to)1978-1985
ISSN0963-8288
DOIs
Publication statusPublished - 2012

ID: 34803399