A neurophysiological and clinical study of Brunnstrom recovery stages in the upper limb following stroke.

Abstract:

PRIMARY OBJECTIVE:To determine the extent to which the Brunnstrom recovery stages of upper limb in hemiparetic stroke patients are correlated to neurophysiological measures and the spasticity measure of Modified Modified Ashworth Scale (MMAS). RESEARCH DESIGN:A concurrent criterion-related validity study. INTERVENTIONS:Not applicable. METHODS AND PROCEDURES:Thirty patients (15 men and 15 women; mean ± SD = 58.8 ± 11.5 years) with upper limb spasticity after stroke were recruited. Wrist flexor spasticity was rated using the MMAS. The neurophysiological measures were Hslp/Mslp ratio, H(max)/M(max) ratio and Hslp. MAIN OUTCOMES AND RESULTS:There was a significant moderate correlation between the Brunnstrom recovery stages and the neurophysiological measures. The Brunnstrom recovery stages were highly correlated to the MMAS scores (r = -0.81, p < 0.0001). CONCLUSIONS:The Brunnstrom recovery stages are moderately correlated with neurophysiological measures and highly correlated with the MMAS regarding the evaluation of motor recovery in stroke patients. The Brunnstrom recovery stages can be used as a valid test for the assessment of patients with post-stroke hemiplegia.

journal_name

Brain Inj

journal_title

Brain injury

authors

Naghdi S,Ansari NN,Mansouri K,Hasson S

doi

10.3109/02699052.2010.506860

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

1372-8

issue

11

eissn

0269-9052

issn

1362-301X

journal_volume

24

pub_type

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