Therese Ramström

• PhD
• Researcher at University of Gothenburg

Objective To evaluate the long-term efficacy of spasticity-corrective surgery and botulinum toxin treatment in patients with upper limb spasticity. Design Pretest-posttest quasi-experimental study. Patients Thirty-four patients with disabling spasticity. Methods Patients were divided into 2 groups based on their treatment preference: the surgery...

This retrospective, multicentre study maps grip strength and grasp ability after tendon transfer surgery in patients with tetraplegia. Data were analysed in the whole group and in subgroups stratified into the International Classification for Surgery of the Hand in Tetraplegia (ICSHT) and sex. In total, 200 arms (143 patients) had tendon transfer s...

Spasticity is a common secondary complication after injuries to the central nervous system (CNS). Spasticity may severely impair arm and hand function, and consequently, affect an individual's function, resulting in disabilities or limiting activities and participation. Today, there is conflicting evidence regarding the effectiveness of available s...

Background: Spasticity is generally caused by damage to the spinal cord or the areas of the brain that controls movements, which poses significant limitations in occupational tasks. Objectives: The aims of the study were to (I) describe prioritized occupational performance problems (POPP) among patients who underwent upper limb spasticity-correc...

Regaining upper extremity function is a prioritized matter for patients with tetraplegia after a cervical spinal cord injury (cSCI). The purpose of this article is to describe the current evidence and treatment strategies for upper extremity reconstruction after cSCI at the Centre for Advanced Reconstruction of Extremities, Sahlgrenska University H...

Background Patient Reported Outcomes Measure (PROM) are commonly used in research and essential to understand the patient experience when receiving treatment. Arm Activity Measure (ArmA) is a valid and reliable self-report questionnaire for assessing passive (section A) and active (section B) real-life arm function in patients with disabling spasti...

Purpose The aim of this study was to explore the patient perspective of their experiences of daily life after spasticity-correcting surgery for disabling upper limb (UL) spasticity after spinal cord injury (SCI) and stroke. Materials and methods Eight patients with UL spasticity resulting from SCI (n= 6) or stroke (n= 2) were interviewed 6–9 month...

Background: Spasticity is a common secondary consequence of an injury to the Central Nervous System (CNS). It is a complex problem that can cause profound disability. Aim: To evaluate the feasibility of a treatment algorithm for spasticity-correcting surgery in patients with disabling Upper Limb (UL) spasticity due to CNS injuries. Design: Retrospe...

Spasticity after an injury to the central nervous system (CNS) can cause profound disability (1). The prevalence of spasticity differs among various diagnoses, depending on how it is defined. Spasticity is reported to be present in 80% of patients with spinal cord injury (SCI) (2, 3), 60% of patients with traumatic brain injury (TBI) (4), and 30% o...

The effects of spasticity-reducing surgery in the upper extremity were assessed in a prospective observational study of 30 consecutive patients with stroke ( n = 13), incomplete spinal cord injury ( n = 9), traumatic brain injury ( n = 5), cerebral palsy ( n = 2), and degenerative central nervous system disease ( n = 1). Surgery, which included len...

Introduction/Background We evaluated if spasticity-reducing surgery in the upper extremity could improve motor function, fulfill patient's specific goals and influence performance of daily activities in patients with muscle overactivity. Material and method Thirty consecutive patients with spasticity due to various CNS injuries were evaluated pre-...