[HTML][HTML] Human recombinant hyaluronidase injections for upper limb muscle stiffness in individuals with cerebral injury: a case series

P Raghavan, Y Lu, M Mirchandani, A Stecco - EBioMedicine, 2016 - thelancet.com
Spasticity, muscle stiffness and contracture cause severe disability after central nervous
system injury. However, current treatment options for spasticity produce muscle weakness …

[HTML][HTML] Peripheral mechanisms contributing to spasticity and implications for treatment

A Stecco, C Stecco, P Raghavan - Current Physical Medicine and …, 2014 - Springer
Histolopathological studies have demonstrated a generalized increase in extracellular
connective tissue in spastic muscles. It is known that increased connective tissue in an …

Reliability and validity of ultrasound elastography for evaluating muscle stiffness in neurological populations: a systematic review and meta-analysis

T Miller, M Ying, C Sau Lan Tsang, M Huang… - Physical …, 2021 - academic.oup.com
Objective Ultrasound elastography is an emerging diagnostic technology used to investigate
the biomechanical properties of the musculoskeletal system. The purpose of this study was …

[HTML][HTML] Quantifying muscle glycosaminoglycan levels in patients with post-stroke muscle stiffness using T MRI

RG Menon, P Raghavan, RR Regatte - Scientific reports, 2019 - nature.com
The purpose of this study was to provide imaging evidence of increased glycosaminoglycan
(GAG) content in patients with post-stroke muscle stiffness; and to determine the effect of …

[HTML][HTML] Viscoelastic properties of hyaluronan in physiological conditions

MK Cowman, TA Schmidt, P Raghavan… - F1000Research, 2015 - ncbi.nlm.nih.gov
Hyaluronan (HA) is a high molecular weight glycosaminoglycan of the extracellular matrix
(ECM), which is particularly abundant in soft connective tissues. Solutions of HA can be …

[HTML][HTML] The effects of hyaluronic acid on hemiplegic shoulder injury and pain in patients with subacute stroke: a randomized controlled pilot study

YC Huang, CP Leong, L Wang, MJ Chen, CY Chuang… - Medicine, 2016 - journals.lww.com
Background: Hemiplegic shoulder pain (HSP) is one of the most common comorbidities in
stroke patients with flaccid shoulders. The pain limits functional motor recovery and affects …

Collagenase treatment decreases muscle stiffness in cerebral palsy: A preclinical ex vivo biomechanical analysis of hip adductor muscle fiber bundles

JJ Howard, V Joumaa, KG Robinson… - … Medicine & Child …, 2023 - Wiley Online Library
Aim To determine the dose–response relationship of collagenase Clostridium histolyticum
(CCH) on collagen content and the change in muscle fiber bundle stiffness after ex vivo …

[HTML][HTML] Ultrasound elastography in the assessment of post-stroke muscle stiffness: a systematic review

J Roots, GS Trajano, D Fontanarosa - Insights into imaging, 2022 - Springer
Background Post-stroke muscle stiffness is a major challenge in the rehabilitation of stroke
survivors, with no gold standard in clinical assessment. Muscle stiffness is typically …

[HTML][HTML] Effect of intra-articular hyaluronic acid injection on hemiplegic shoulder pain after stroke

MH Jang, CH Lee, YI Shin, SY Kim… - Annals of rehabilitation …, 2016 - synapse.koreamed.org
Objective To evaluate the efficacy of intra-articular hyaluronic acid (IAHA) injection for
hemiplegic shoulder pain (HSP) after stroke. Methods Thirty-one patients with HSP and …

Shear wave elastography potential to characterize spastic muscles in stroke survivors: Literature review

MC Lehoux, S Sobczak, F Cloutier, S Charest… - Clinical …, 2020 - Elsevier
Background Post-stroke spasticity contributes to impairments, disabilities and decline in
quality of life. Quantitative measurements of spasticity are needed in order to assess the …