Reliability of clinicalspasticity measurements in patients with spinal cord injury in cervical region.
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2007, Vol 9, Issue 5
Abstract
The Modified Ashworth Scale (MAS) is the most popular clinical measure of spasticity. Other clinical signs of spasticity include hyperactive tendon reflexes, myoclonus and Babinski sign. PURPOSE: To assess reliability of the MAS with myoclonic and tendon reflex examination (MTR) in patients with spinal cord injury (SCI). MATERIAL: 30 patients (16 with complete and 14 with incomplete neural deficite) who sustained cervical SCI 4-66 months prior to the study. Mean age 33,9 years (SD=14,7). METHODS: 6 idepenedent observers rated MAS and MTR in each patient. RESULTS: Poor interrater reliability of MAS (ICC=0,56) and good reliability of MTR (ICC=0,81) were demonstarted. Satisfactory to good co-relation exists between averaged MAS rates (Pearson co-efficiet 0,67-0,9). MAS reliability was lower in lower limbs and when joint contractures are present. Significantly (p<0,01) lower MAS repeatability was noted in subjects younger than 30. Thewre is a positive dependence between functional abilities and MAS repeatability. Generalized muscle tone, sex, time elapsing from injury do not influence MAS reliability. CONCLUSIONS: However MAS is unreliable in patients with SCI, it may be helpful in establishing of generalized muscular tone. MAS repeatability is lower in younger patients. MAS is inappropriate tool in cases with joint contratures. MTR are more stable signs than muscle tone in SCI patients. Examination of tendon reflexes, myoclonus and Babinski sign is reliable in SCI patients.
Authors and Affiliations
Piotr Tederko , Marek Krasuski , Julita Czech , Agnieszka Dargiel , Iwona Garwacka-Jodzis , Anna Wojciechowska
Keywords
Related Articles
- EP ID EP56748
- DOI -
- Views 121
- Downloads 0
Early acute phase response following total hip replacement
Introduction: Total joint replacement is a major surgical procedure with considerable tissue injury and the implantation of a bulky foreign body. The acute phase proteins are commonly used universal markers of systemic i...
Postępowanie fizjoterapeutyczne po złamaniach osteoporotycznych
Osteoporoza, charakteryzująca się niską masą kości i upośledzoną mikroarchitekturą tkanki kostnej, jest często przyczyną złamań, do których dochodzi w wyniku nawet niewielkich urazów. Takie złamania mogą prowadzić do pow...
Biologiczne metody rekonstrukcji rozległych ubytków kości po miejscowych resekcjach guzów kości u dzieci – doświadczenia własne
Autorzy przedstawiają własne doświadczenia w tzw. biologicznych metodach rekonstrukcji ubytków kończyn po resekcjach guzów i zmian guzopodobnych. Obejmują one, w zależności od lokalizacji w obrębie kończyny górnej lub do...
Periprosthetic fractures of the femur after total hip arthroplasty: etiology and outcome
Background. This article reports on our experience in the management of periprosthetic fractures of the femur.Materials and methods. We studied 44 patients (39 women and 5 men) with periprosthetic fractures of the femur...
Early clinical results of open and arthroscopic synovectomy for exudative gonitis
Introduction: The authors compared early results of open and arthroscopic knee joint synovectomy in patients with nonspecific exudative synovitis and rheumatoid arthritis.Material and methods: The study comprised two gro...