Electrodiagnosis of Upper Limb Weakness in Acute Quadriplegia1

Little, James W.; Powers, Randall K.; Michelson, Paula; Moore, Donna L.; Robinson, Lawrence R.; Goldstein, Barry J.

doi:10.1097/00002060-199473010-00004

Cited by 6 publications

(11 citation statements)

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“…[41][42][43] Furthermore, reducing hypertonia by therapeutic intervention has resulted in increases in maximum voluntary force [44][45][46][47] and improved function. 8,44,[46][47][48][49] Other studies reject this relationship based on clinical observations 50,51 that reducing reflex hyperexcitability does not always promote functional improvement.…”

Section: Relationship Between Neuromuscular Properties and Impaired Vmentioning

confidence: 99%

Prediction of Natural History of Neuromuscular Properties After Stroke Using Fugl-Meyer Scores at 1 Month

Mirbagheri

Lilaonitkul

Rymer

2011

Neurorehabil Neural Repair

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Section: Relationship Between Neuromuscular Properties and Impaired Vmentioning

confidence: 99%

Prediction of Natural History of Neuromuscular Properties After Stroke Using Fugl-Meyer Scores at 1 Month

Mirbagheri

Lilaonitkul

Rymer

2011

Neurorehabil Neural Repair

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“…3-5 Others, however, have demonstrated no functional improvements with reduced hypertonia, based on clinical observations. 6,7…”

Section: Introductionmentioning

confidence: 99%

Interventions to Reduce Spasticity and Improve Function in People With Chronic Incomplete Spinal Cord Injury

Duffell

Brown

Mirbagheri

2014

Neurorehabil Neural Repair

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Background Spinal cord injury (SCI) results in impaired function and ankle joint spasticity is a common secondary complication. Different interventions have been trialed with variable results. Objective We investigated the effects of pharmacological and physical (locomotor training) interventions on function in people living with incomplete motor function loss due to SCI, and used different analytical techniques to understand whether functional levels affect recovery with different interventions. Methods Participants with an incomplete SCI were assigned to three groups; no intervention, Lokomat or tizanidine. Outcome measures were the 10-meter walk test (10MWT), 6-minute walk test (6MWT) and the Timed-up and go (TUG). Participants were classified in two ways; i) based on achieving an improvement above the minimally important difference (MID) and; ii) using Growth Mixture Modeling (GMM). Functional levels of participants that achieved the MID were compared and Random Coefficient Regression (RCR) was used to assess recovery in GMM classes. Results Overall, walking speed and endurance improved, with no difference between interventions. Only a small number of participants achieved the MID. Both MID and GMM-RCR analyses revealed that tizanidine improved endurance in high functioning participants. GMM-RCR classification also showed that speed and mobility improved after locomotor training. Conclusions Improvements in function were achieved in a limited number of people with SCI. Using the MID and GMM techniques, differences in responses to interventions between high and low functioning participants could be identified. These techniques may therefore have potential to be used for characterizing therapeutic effects due to different interventions.

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“…SCI affects both upper and lower motor neurons. At the site of injury to the spinal cord, there may be white and/or gray matter damage [2]. Gray matter damage usually involves death of anterior horn cells (AHC) with gradual loss of their axonal projections through Wallerian degeneration [3].…”

Section: Introductionmentioning

confidence: 99%

Quantitative electrodiagnostic patterns of damage and recovery after spinal cord injury: a pilot study

Zakrasek

Jaramillo

Lateva

et al. 2019

Spinal Cord Ser Cases

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Electrodiagnosis of Upper Limb Weakness in Acute Quadriplegia1

Cited by 6 publications

References 0 publications

Prediction of Natural History of Neuromuscular Properties After Stroke Using Fugl-Meyer Scores at 1 Month

Prediction of Natural History of Neuromuscular Properties After Stroke Using Fugl-Meyer Scores at 1 Month

Interventions to Reduce Spasticity and Improve Function in People With Chronic Incomplete Spinal Cord Injury

Quantitative electrodiagnostic patterns of damage and recovery after spinal cord injury: a pilot study

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