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Survivors of central nervous system injury commonly present with spastichypertonia. The affected muscles are hyperexcitable and can display involuntarystatic muscle tone and an exaggerated stretch reflex. These symptoms affectposture and disrupt activities of daily living. Symptoms are typically measuredusing subjective manual tests such as the Modified Ashworth Scale; however,more quantitative measures are necessary to evaluate potential treatments. Thehands are one of the most common targets for intervention, but fewinvestigators attempt to quantify symptoms of spastic hypertonia affecting thefingers. We present the isometric force pillow (IFP) to quantify involuntarygrip force. This lightweight, computerized tool provides a holistic measure offinger flexion force and can be used in various orientations for clinicaltesting and to measure the impact of assistive devices.

Isometric force pillow: using air pressure to quantify involuntary finger flexion in the presence of hypertonia