Validation of the modified Rankin Scale in Russia

Супонева, Н. А.; Yusupova, D. G.; Zhirova, E. S.; Melchenko, D. A.; Taratukhina, A. S.; Butkovskaya, А. A.; Ilyina, K.A.; Zaytsev, Alexandr; Зимин, А. А.; Klochkov, A. S.; Lyukmanov, Roman; Kalinkina, M. E.; Piradov, М. А.; Kotov-Smolensky, A.M.; Khizhnikova, A. E.

doi:10.14412/2074-2711-2018-4-36-39

Cited by 9 publications

(2 citation statements)

References 10 publications

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“…Клиническую оценку эффективности проводимого курса реабилитации с использованием роботизированного экзоскелета проводили до начала курса тренировок и на следующий день после его окончания. Применяли валидированные русскоязычные версии шкалы Фугл-Мейера (ШФМ), модифицированной шкалы Эшворта (МШЭ), по которой оценивали спастичность икроножной и камбаловидной мышц, а также модифицированную шкалу Рэнкина (modified Rankin scale, MRS) и шкалу функциональных амбулаторных категорий (functional ambulation categories, FAC) [23,24].…”

Section: пациенты и методыunclassified

Vliyaniye robotizirovannykh trenirovok na biomekhaniku golenostopnogo sustava u patsiyentov s postinsul'tnym parezom

Клочков¹,

Зимин²,

Khizhnikova³

et al. 2020

Вестник РГМУ

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Klyuchevym faktorom narusheniy pokhodki posle ostrykh narusheniy mozgovogo krovoobrashcheniya (ONMK) yavlyayetsya narusheniye dvizheniy v golenostopnom sustave (GS), privodyashcheye k formirovaniyu patologicheskoy sinergii. V nastoyashcheye vremya pri robotizirovannykh trenirovkakh khod'by ispol'zuyut privody tazobedrennogo i kolennogo sustavov. Odnako po dannym literatury net yedinogo mneniya ob ikh vliyanii na dvizheniya v GS. Tsel'yu issledovaniya bylo izuchit' vliyaniye robotizirovannykh trenirovok khod'by na dvizheniya GS u patsiyentov s postinsul'tnym parezom. V issledovanii prinyalo uchastiye 22 patsiyenta s ONMK polusharnoy lokalizatsii. Dlya otsenki dvigatel'noy funktsii primenyali klinicheskiye shkaly i videoanaliz khod'by. Vsem patsiyentam provodili kurs iz 11 robotizirovannykh trenirovok khod'by. Na fone trenirovok vyyavleno uvelicheniye obshchego balla po shkale Fugl-Mayyera so 146,5 do 152 ballov (p < 0,05) i otdel'no dlya nizhney konechnosti s 18 do 20,5 ballov (p < 0,05), a takzhe snizheniye myshechnogo tonusa razgibateley GS s 2,5 do 2,0 ballov po modifitsirovannoy shkale Eshvorta (p < 0,05). Na fone robotizirovannykh trenirovok otmecheno uvelicheniye dlitel'nosti fazy opory patsiyentov s 28,0 do 33,5% ot tsikla shaga (TSSH). Krome togo, osnovnym razlichiyem struktury TSSH do i posle kursa trenirovok stalo nalichiye trekh chastey shaga vmesto pyati, chto podtverzhdayet konsolidatsiyu goniogramm patsiyentov v periode ot 1 do 61% TSSH. Sravneniye znacheniy uglov do i posle pokazalo dostovernyye razlichiya tol'ko po mezhkvartil'nomu intervalu (r < 0,05). Avtory prishli k vyvodu, chto robotizirovannyye trenirovki s primeneniyem aktivnykh privodov dlya tazobedrennogo i kolennogo sustavov oposredovanno sposobstvuyut izmeneniyam kinematicheskikh parametrov GS za schet priblizheniya pokazateley patterna k nekoyemu usrednennomu shablonu dvizheniy.

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Section: пациенты и методыunclassified

Vliyaniye robotizirovannykh trenirovok na biomekhaniku golenostopnogo sustava u patsiyentov s postinsul'tnym parezom

Клочков¹,

Зимин²,

Khizhnikova³

et al. 2020

Вестник РГМУ

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“…The literature describes clinical, biomechanical, and electrophysiological methods for evaluating the effectiveness of treatment in patients with increased tone of the upper and lower limbs [ 6 ]. For this purpose, the Modified Ashworth Scale is most often used in clinical practice [ 7 , 8 ]. Using this scale, an investigator obtains a subjective assessment of muscle tone.…”

Section: Introductionmentioning

confidence: 99%

Application of 2D Gait Analysis for the Assessment of Gait Disturbance in Patients with Spastic Tetraparesis

Eliseev¹,

Kalinina²,

Yashin³

et al. 2021

Sovrem Tehnol Med

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The aim of the study was to explore the use of 2D gait analysis for assessing gait abnormalities in patients with spastic tetraparesis associated with spinal cord injury and other lesions of the cervical spinal cord. Materials and Methods The study included 12 patients with tetraparesis of various etiologies. Gait assessment was performed by video analysis using reflective markers (1.5 cm) and a special walking platform. The spatial coordinates of the markers were determined by capturing the reflected light with infrared LEDs located around the lenses of video cameras. Results Using 2D gait analysis, numerical indicators of gait disturbance in spastic tetraparesis were obtained. We found a prolongation of the stand phase with a shortening of the swing phase (from 81.9 [76.1; 89.2] to 85.3 [74.4; 90.2]%; p=0.97) and the period of the double step (from 0.50 [0.45; 0.96] to 0.40 [0.34; 0.66]; p=0.4) in comparison with the target (normal) values (60% — for the stand phase; 1.41 — for the double-step period). The movements in the hip, knee, and ankle joints are described using numerical values. We then compared the data obtained from the left and right sides of the patient’s body: there were no statistically significant differences between the two sets of data. We also compared the gait characteristics before and after treatment (in 4 patients). Statistically significant differences in values were obtained for the stand and swing phases (p=0.035), the range of motion in the hip joint (p=0.01), and gait velocity (p=0.046). Kendall’s analysis revealed no significant correlation between the data obtained by video gait analysis and the gait changes by the Modified Ashworth Scale (р>0.05). Conclusion 2D gait analysis is a promising method for quantifying gait disturbance in patients with spastic tetraparesis. It allows one to identify characteristic gait patterns, in particular, an increase in the stand phase with a shortening of the swing phase and the double step period, as well as a decrease in the range of motion in the hip joints with an increase in the knee and ankle ones.

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Disorders of Higher Mental Functions and Their Effect on the Limitation of Self-Care and Life-Sustaining Activity in Patients with Consequences of Stroke

Ermakova¹

2019

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Validation of the modified Rankin Scale in Russia

Cited by 9 publications

References 10 publications

Vliyaniye robotizirovannykh trenirovok na biomekhaniku golenostopnogo sustava u patsiyentov s postinsul'tnym parezom

Vliyaniye robotizirovannykh trenirovok na biomekhaniku golenostopnogo sustava u patsiyentov s postinsul'tnym parezom

Application of 2D Gait Analysis for the Assessment of Gait Disturbance in Patients with Spastic Tetraparesis

Disorders of Higher Mental Functions and Their Effect on the Limitation of Self-Care and Life-Sustaining Activity in Patients with Consequences of Stroke

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