Abstract：
OBJECTIVES:To assess upper-limb spasticity after stroke by means of clinical and instrumental tools and to identify possible variables influencing the clinical pattern. DESIGN:Descriptive measurement study of a consecutive sample of patients with upper-limb spasticity after stroke. SETTING:Neurorehabilitation hospital. PARTICIPANTS:Sixty-five poststroke hemiplegic patients. INTERVENTIONS:Not applicable. Main outcome measures Upper-limb spasticity, as assessed clinically (Modified Ashworth Scale [MAS], articular goniometry) and neurophysiologically (maximum H-reflex [Hmax], maximum M response [Mmax], Hmax/Mmax ratio). RESULTS:Poorer MAS scores were associated with lower passive range of motion (PROM) values at the wrist ( P =.01) and elbow ( P =.002). The flexor carpi radialis Hmax/Mmax ratio correlated directly with MAS scores at the wrist ( P =.005) and correlated inversely with PROM. The presence of pain in the fingers, wrist, and elbow was significantly associated only with lower PROM values at the wrist. CONCLUSIONS:Upper-limb spasticity is involved in the development of articular PROM limitation after a stroke. Pain appears to be related to PROM reduction as well, but the exact causal relationship between these 2 factors is still unclear. The MAS and the Hmax/Mmax ratio correlated when evaluating poststroke spasticity; they characterize 2 different aspects of spasticity, clinical and neurophysiologic, respectively, and they could be used as an integrated approach to study and follow poststroke patients.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Pizzi A,Carlucci G,Falsini C,Verdesca S,Grippo Adoi
10.1016/j.apmr.2004.10.022subject
Has Abstractpub_date
2005-03-01 00:00:00pages
410-5issue
3eissn
0003-9993issn
1532-821Xpii
S0003-9993(04)01310-3journal_volume
86pub_type
杂志文章abstract：OBJECTIVES:To explore and quantify the physical and functional effects of stabilizing the torso with electrical stimulation of the paralyzed hip and trunk musculature after motor complete tetraplegia. DESIGN:Single-subject case study with repeated measures and concurrent controls. SETTING:Academic outpatient rehabili...
journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
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更新日期：1991-03-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Archives of physical medicine and rehabilitation
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更新日期：2015-04-01 00:00:00
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更新日期：2003-04-01 00:00:00
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更新日期：2015-04-01 00:00:00
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pub_type： 杂志文章
doi：10.1053/apmr.2001.18226
更新日期：2001-03-01 00:00:00
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更新日期：2013-06-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
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更新日期：2016-06-01 00:00:00
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更新日期：2018-10-01 00:00:00
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