When you can measure what you are speaking about and express it in numbers, you know something about itbut when you cannot measure it in numbers your knowledge is of a meagre and unsatisfactory kind -it may be the beginning of knowledge but you have scarcely, in your thought, advanced to the stage of science whatever the matter may be. (Lord Kelvin
Walking was statistically significantly improved when the ODFS was worn but no 'carry-over' was measured. Physiotherapy alone, in this group of subjects with established stroke, did not improve walking.
Methods appropriate for use in research, particularly into the mechanism of spasticity did not satisfy the needs of the clinician and the need for an objective but clinically applicable tool was identified. A clinical assessment may need to generate more than one 'value' and should include evaluation of other components of the upper motor neurone syndrome. There is therefore a need for standardized protocols for 'best practice' in application of spasticity measurement tools and scales.
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