Predictive factors for spasticity among ischemic stroke patients

Moura, Rita de Cássia dos Reis; Fukujima, Márcia Maiumi; Aguiar, Alexandre Santos; Fontes, Sissy Veloso; Dauar, Rafi F.; Prado, Gilmar Fernandes do

doi:10.1590/s0004-282x2009000600013

Cited by 26 publications

(23 citation statements)

References 23 publications

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“…541 The prevalence of poststroke spasticity in any limb is in the range of 25% to 43% over the first year after stroke. [542][543][544][545] For patients who require acute rehabilitation after stroke, the prevalence of spasticity in any limb is 42%. 546 The incidence of upper limb spasticity over the first 3 months in patients admitted to rehabilitation is 33%.…”

Section: Spasticitymentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,169

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Spasticitymentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,169

840

View full text Add to dashboard Cite

show abstract

“…Patients were admitted to an acute rehabilitation hospital within a one year time period (Age: mean 67. 4,SD 8.33;BMI: mean 29.3,SD 5.91; Length of Stay: mean 7.8 days, SD 1.40). Data was collected to compare fall risk scores and safety for discharge as defined by the FIM.…”

Section: United States Of Americamentioning

confidence: 98%

“…The average age was 38.3 (SD 9.0, range: 26-53). All eleven had received prior medical treatments but reported persistent baseline mean headache level of 9.6 (SD 0.82) with a median of 6 years of duration (range [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. Two veterans finished 10 treatments, four finished 9 treatments, one finished 2 treatments, and four finished less than 5 treatments but were discharged.…”

Section: Referencementioning

confidence: 99%

“…Application for the children with spastic cerebral palsy and internal tibial torsion should be investigated carefully before justification as the relationship with the spasticity is nor evaluated yet. 4 Victor Babes University of Medicine and Pharmacy, Timisoara, Romania Objective: The purpose of this study is to demonstrate the efficiency of a complex rehabilitation programme in teenagers with cystic fibrosis. Method: This prospective study was conducted for 3 months, in the Romanian National Cystic Fibrosis Centre.…”

Section: Pain Medicinementioning

confidence: 99%

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Abstracts: 6th World Congress of the international society of Physical and Rehabilitation Medicine in June 12-16, 2011, San Juan, Puerto Rico

I¹

2011

J Rehabil Med

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“…2 The prevalence of spasticity after a first stroke has been inconsistent, ranging between 18% and 38%. [3][4][5][6][7][8] In addition, a recent study indicated that the prevalence of spasticity in patients with stroke referred to the Department of Rehabilitation …”

Section: Introductionmentioning

confidence: 99%

Comparing the validity of the Modified Modified Ashworth Scale (MMAS) and the Modified Tardieu Scale (MTS) in the assessment of wrist flexor spasticity in patients with stroke: protocol for a neurophysiological study

et al. 2012

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IntroductionReliable and valid tools must be used to assess spasticity in clinical practise and research settings. There is a paucity of literature regarding the validity of the Modified Modified Ashworth Scale (MMAS) and the Modified Tardieu Scale (MTS). No study, to date, has been performed to compare the validity of the MMAS and the MTS. This neurophysiological study protocol will compare the validity of the MMAS and the MTS in the assessment of poststroke wrist flexor spasticity.Methods and analysisThirty-two patients with stroke from the University Rehabilitation clinics will be recruited to participate in this cross-sectional, non-interventional study. All measurements will be taken in the Physical Medicine and Rehabilitation Department of Shafa University Hospital in Tehran, Iran. First, wrist flexor spasticity will be assessed clinically using the MMAS and MTS. The tests will be applied randomly. For the MTS, the components of R1, R2, R2−R1 and quality of muscle reaction will be measured. Second, neurophysiological measures of H-reflex latency, Hmax/Mmax ratio, Hslp and Hslp/Mslp ratio will be collected from the affected side. The results will be analysed using Spearman's ρ test or Pearson's correlation test to determine the validity of the MMAS and the MTS as well as to compare the validity between the MMAS and the MTS.Ethics and disseminationThe Research Council, School of Rehabilitation and the Ethics Committee of Tehran University of Medical Sciences (TUMS) approved the study protocol. The study results will be disseminated in peer-reviewed publications and presented at international congresses.

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Predictive factors for spasticity among ischemic stroke patients

Cited by 26 publications

References 23 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Abstracts: 6th World Congress of the international society of Physical and Rehabilitation Medicine in June 12-16, 2011, San Juan, Puerto Rico

Comparing the validity of the Modified Modified Ashworth Scale (MMAS) and the Modified Tardieu Scale (MTS) in the assessment of wrist flexor spasticity in patients with stroke: protocol for a neurophysiological study

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