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Spasticity after traumatic spinal cord injury: nature, severity, and location.
Department of Clinical Neuroscience and Occupational Therapy and Elderly Care Research Karolinska Institute, Stockholm, Sweden.
Department of Physical Therapy Karolinska Institute, Stockholm, Sweden.
Department of Clinical Neuroscience and Occupational Therapy and Elderly Care Research Karolinska Institute, Stockholm, Sweden.
1999 (English)In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 80, no 12, 1548-1557 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To assess spasticity in a prevalence population of persons with traumatic spinal cord injury (SCI), and determine the degree of correspondence between self-reported spasticity and investigator-elicited spasticity using the modified Ashworth scale.

DESIGN: Survey of a near total (88%) prevalence population.

SETTING: Outpatient clinic of a university hospital.

PATIENTS: A total of 354 individuals with SCI.

MAIN OUTCOME MEASURES: The survey includes self-reported symptoms, neurologic examination (American Spinal Injury Association [ASIA] classification), physical therapy examination, range of motion (ROM), and complications.

RESULTS: Presence of problematic spasticity was significantly correlated with cervical incomplete (ASIA B-D) injury. Reports of beneficial effects of spasticity were significantly less common in women. Self-reported problematic spasticity was significantly correlated with extensor spasticity. Spasticity was elicitable by movement provocation in 60% of the patients reporting spasticity. Significant correlations were found between elicitable spasticity and limited ROM.

CONCLUSION: Flexion, extension, and abduction movements performed with the patient placed in a standardized supine test position are suitable both for test of ROM and degree of spasticity. Spasticity was not elicitable by movement provocation on physical examination in 40% of the patients who reported spasticity, thus indicating that the patient's self-report is an important complement to the clinical assessment. A significant association between spasticity and contractures (reduced ROM) was seen.

Place, publisher, year, edition, pages
Elsevier, 1999. Vol. 80, no 12, 1548-1557 p.
National Category
Physiotherapy Neurology
Identifiers
URN: urn:nbn:se:liu:diva-126383DOI: 10.1016/S0003-9993(99)90329-5PubMedID: 10597805OAI: oai:DiVA.org:liu-126383DiVA: diva2:913953
Available from: 2016-03-23 Created: 2016-03-23 Last updated: 2016-04-08

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