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Spasticity after traumatic spinal cord injury: nature, severity, and location.
1999 (English)In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 80, no 12, 1548-57 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
1999. Vol. 80, no 12, 1548-57 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:umu:diva-86548PubMedID: 10597805OAI: oai:DiVA.org:umu-86548DiVA: diva2:699843
Available from: 2014-03-01 Created: 2014-03-01 Last updated: 2017-12-05

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Richard, Levi

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