Time-course and determinants of spasticity during the first six months following first-ever stroke.

Abstract:

OBJECTIVE:To explore the occurrence of, and risk factors for, spasticity until 6 months after first-ever stroke. METHODS:Forty-nine patients were examined at day 2-10, at 1 month, and at 6 months. The modified Ashworth Scale was used to assess resistance to passive movements. A comprehensive clinical examination was performed to identify other positive signs of upper motor neurone syndrome, in accordance with a broader definition of spasticity, and to evaluate whether spasticity was disabling. Neurological impairments were determined by use of the National Institutes of Health Stroke Scale and global disability by use of the modified Rankin Scale. RESULTS:Spasticity was present in 2 patients (4%) at day 2-10, in 13 patients (27%) at 1 month, and in 11 patients (23%) at 6 months. Severe paresis of the arm at day 2-10 was associated with a higher risk for spasticity at 1 month (odds ratio = 10, 95% confidence interval 2.1-48.4). Disabling spasticity was present in one patient at 1 month and in 6 patients (13%) at 6 months. CONCLUSION:Spasticity according to the modified Ashworth Scale usually occurs within 1 month and disabling spasticity later in a subgroup. Severe paresis of the arm is a risk factor for spasticity.

journal_name

J Rehabil Med

authors

Lundström E,Smits A,Terént A,Borg J

doi

10.2340/16501977-0509

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

296-301

issue

4

eissn

1650-1977

issn

1651-2081

journal_volume

42

pub_type

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