Análise clinica da espasticidade em indivíduos com lesão medular

Tancredo, Janaína Roland; Maria, Renata Manzano; Azevedo, Eliza Regina Ferreira Braga Machado de; Alonso, Karina Cristina; Varoto, Renato; Cliquet, Alberto

doi:10.1590/s1413-78522013000600002

Cited by 11 publications

(9 citation statements)

References 13 publications

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“…( 16 In contrast, spasticity delays atrophy when compared to other muscle groups. ( 17 Unfortunately, spastic symptoms are not adequately treated and diagnosed in the population with spinal cord injury, since they are diverse and their etiology uncertain.…”

Section: Resultsmentioning

confidence: 99%

“…Meanwhile, supine and semi-supine postures increase blood pressure and pain in patients with injury above T6 (autonomic dysreflexia). ( 17 Another related study was prepared to evaluate the effect of neuromuscular electrical stimulation on spasticity in patients with spinal cord injury and concluded that it is effective by reducing spasticity, but with short duration. Figure 3a - before NMES, there are disorganized movements and less wave amplitude, explained by the absence of muscle control.…”

Section: Resultsmentioning

confidence: 99%

“…

Figure 3 a: Graph representing the variation in degrees of spasticity in the pendular test before the NMES; b: Similar graph in ‘a’, but after NMES; c: MRI scan with contusion of the medial bone (red circle); d: MRI points to medial meniscus injury with internal decrease. ( 17 ), ( 18 …”

Section: Resultsmentioning

confidence: 99%

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Orthopedic Related Comorbidities in Spinal Cord-Injured Individuals

et al. 2020

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Objective: This study aims to review, identify and study the determinations of the main orthopedic aspects in SCI patients. Methods: A total of 80 articles from PUBMED and three theses (MSc. /DSc.) were examined. Results: The results refer to the most essential joints. There is a chronic overload on the shoulder girdle due to the use of the upper limb as a supporting joint. The elbow presents osteoarthritis, subclinical, acute and chronic pain, mainly in quadriplegic patients. In the hand and wrist joints there are cases of paralysis, osteoporosis and osteoarthritis. Hips are the main weight-bearing joints while sitting which leads to a substantial degenerative process of this joint. Lastly, on the knee, feet and ankles, spasticity, contractures, osteoporosis and deformities can arise. Conclusion: Along with the increase in cases and research that analyze the alterations that spinal cord-injured individuals suffer, it is necessary to recognize the orthopedic changes to understand their limits and identify the relevance of the rehabilitation program to improve the muscle performance. Level of Evidence II, Prognostic Studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Orthopedic Related Comorbidities in Spinal Cord-Injured Individuals

et al. 2020

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“…Some of the studies compared healthy participants with their patient population. Almost half of these studies also used clinical scales either to choose the range of spasticity in their patient population [16,29] or to compare their outcome measures according to the divisions that clinical scales provided [6,17].…”

Section: Methods Of Implementation Of Pendulum Testmentioning

confidence: 99%

Objective Assessment of Spasticity by Pendulum Test: A Systematic Review on Methods of Implementation and Outcome Measures

Rahimi

Eyvazpour

Salahshour

et al. 2020

Preprint

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Background:Instrumented pendulum test is an objective and repeatable biomechanical method of assessment for spasticity. However, multitude of sensor technologies and plenty of suggested outcome measures, confuse those interested in implementing this method in practice. Lack of a standard agreement on the definition of outcome measures adds to this ambiguity. In this systematic review of studies, we aim to reduce the confusion by providing pros and cons of the available choices, and also by standardizing the definitions.Methods:A literature search was conducted for the period of 1950 to the end of 2019 on PubMed, Science Direct, Google Scholar and IEEE explore; with keywords of “pendulum test” and “Spasticity”.Results:Twenty-eight studies with instrumented pendulum test for assessment of spasticity met the inclusion criteria. All the suggested methods of implementation were compared and advantages and disadvantages were provided for each sensor technology. An exhaustive list categorized outcome measures in three groups of angle-based, angular velocity-based, and angular acceleration-based measures with all different names and definitions. Conclusions:From a critical point of view, sources of ambiguity were found and explained with the help of graphical representation of pendulum movement stages and corresponding parameters on the angular waveforms. We hope using the provided tables simplify the choices when implementing pendulum test for spasticity evaluation, improve the consistency when reporting the results, and disambiguate inconsistency in the literature.

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“…According to relevant clinical experience and literature,6,7 the treatment schemes for cervical spinal cord injury complicated with incomplete paralysis mainly focused on secondary injury because primary injury is featured by sudden onset and rapid progress. Recently whether adrenocortical hormone can be used in the treatment of cervical spinal cord injury and how to use it has become controversial 8,9. One of the recent experimental study showed that the early use of high-dose glucocorticoids after cervical spine fracture combined with spinal cord injury could reduce or delay secondary injury and improve the prognosis 10…”

Section: Introductionmentioning

confidence: 99%

Intermittent injection of Methylprednisolone Sodium Succinate in the treatment of Cervical Spinal Cord injury complicated with incomplete paraplegia

et al. 2019

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Objective: To evaluate the clinical efficacy and safety of intermittent injection of methylprednisolone sodium succinate in the treatment of cervical spinal cord injury complicated with incomplete paraplegia. Methods: Seventy-eight patients with cervical spinal cord injury complicated with incomplete paraplegia who were admitted between August 2016 and December 2017 were enrolled and grouped into an observation group and a control group using random number table, 39 in each group. Patients in the control group were given vertebral body decompression and bone grafting and internal fixation according to the severity of spinal cord compression, while patients in the observation group were treated by methylprednisolone sodium succinate in addition to the same treatment as the control group. The clinical efficacy and medicine associated adverse reactions were compared between the two groups. Results: The cure rate of the observation group was significantly higher than that of the control group (46.2% (18/39) vs. 20.5% (8/39)). After the treatment, the Japanese Orthopaedic Association (JOA) score and American Spinal Cord Injury Association (ASIA) score of the two groups after treatment were significantly higher compared to before treatment, and the scores of the observation group were much higher than those of the control group (P<0.05). The incidence of adverse reactions of the observation and control groups was 15.4% and 17.9% respectively, and the difference was not statistically significant (P>0.05). Conclusion: Intermittent injection of methylprednisolone sodium succinate has definite efficacy in treating cervical spinal cord injury complicated with incomplete paraplegia, with a low incidence of adverse reactions; hence it is worth promotion. How to cite this:Wang W, Zuo B, Liu H, Cui L. Intermittent injection of Methylprednisolone Sodium Succinate in the treatment of Cervical Spinal Cord injury complicated with incomplete paraplegia. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.211 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Análise clinica da espasticidade em indivíduos com lesão medular

Cited by 11 publications

References 13 publications

Orthopedic Related Comorbidities in Spinal Cord-Injured Individuals

Orthopedic Related Comorbidities in Spinal Cord-Injured Individuals

Objective Assessment of Spasticity by Pendulum Test: A Systematic Review on Methods of Implementation and Outcome Measures

Intermittent injection of Methylprednisolone Sodium Succinate in the treatment of Cervical Spinal Cord injury complicated with incomplete paraplegia

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