DEVELOPMENT OF A METHOD FOR OBJECTIVE MEASUREMENT OF ELBOW FLEXORS' SPASTICITY IN PATIENTS WITH
HEMIPLEGIA

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NAKHOSTIN ANSARI N.A.D.; KARIMI HOSSEIN; FARAHMAND F.; BABAEI GH.R.

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Journal Paper

Paper Information

Journal: Daneshvar Medicine: Basic and Clinical Research Journal Year:2003 | Volume:10 | Issue:45 Page(s): 65-74

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Title

DEVELOPMENT OF A METHOD FOR OBJECTIVE MEASUREMENT OF ELBOW FLEXORS' SPASTICITY IN PATIENTS WITH HEMIPLEGIA

Author(s)

NAKHOSTIN ANSARI N.A.D. | KARIMI HOSSEIN | FARAHMAND F. | BABAEI GH.R. | Issue Writer Certificate

Keywords

PHYSIOTHERAPYQ3

SPASTICITYQ3

HEMIPLEGIAQ3

OBJECTIVEQ4

MEASUREMENTQ4

Abstract

Spasticity is one of the most common features of the motor deficits associated with the upper motor neuron syndrom. It is also one of the most common problems confronting rehabilitation professionals. Quantitative measures of SPASTICITY are needed to describe, OBJECTIVEly and precisely, the severity of SPASTICITY and the extent of associated 'motor deficits, but there is no standard, universal and OBJECTIVE method for quantifying SPASTICITY. In this study, a method is developed for OBJECTIVE MEASUREMENT of SPASTICITY based on velocity reduction due to resistance to passive movement (RTPM). The aim of this research was to develop a biomechanical, noninvasive measure of SPASTICITY which could be used in routine clinical practice. In this study, 32 normal subjects (31 men and 1 woman) and 10 hemiplegic subjects (7 men and 3 women) that had no e(how limitation or contracture. Hemiplegic subjects were examined by a physiotherapist using Modified Ashworth Scale. A device to measure RTPM due to SPASTICITY at the elbow was developed. Using this custom-built measuring device, the elbow was extended passively from maximal possible flexion and angular velocity and its changes due to RTPM was measured. Pearson correlation for velocity as dependent variable was 0.949 (P=.00). test -retest reliability was 0.918 (P=,00). Correlations were significant at the 0.01 level Associated Reaction and Asymmetrical Tonic Neck Reflex interaction way statistically significant (f=33.797, df=2,1390, P=.00) and head in midline associated with less velocity reduction or less SPASTICITY. A seven points scale bayed on velocity reduction presented. Percentage agreement between this scale and Modified Ashworth Scale scores provided by physiotherapist way 61%. The method was reliable and valid.

Cites

ASSESSMENT OF SPASTICITY IN PATIENTS WITH STROKE (SYSTEMATIC REVIEW OF LITERATURE)

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APA: Copy

NAKHOSTIN ANSARI, N.A.D., KARIMI, HOSSEIN, FARAHMAND, F., & BABAEI, GH.R.. (2003). DEVELOPMENT OF A METHOD FOR OBJECTIVE MEASUREMENT OF ELBOW FLEXORS' SPASTICITY IN PATIENTS WITH HEMIPLEGIA. DANESHVAR MEDICINE, 10(45), 65-74. SID. https://sid.ir/paper/30644/en

Vancouver: Copy

NAKHOSTIN ANSARI N.A.D., KARIMI HOSSEIN, FARAHMAND F., BABAEI GH.R.. DEVELOPMENT OF A METHOD FOR OBJECTIVE MEASUREMENT OF ELBOW FLEXORS' SPASTICITY IN PATIENTS WITH HEMIPLEGIA. DANESHVAR MEDICINE[Internet]. 2003;10(45):65-74. Available from: https://sid.ir/paper/30644/en

IEEE: Copy

N.A.D. NAKHOSTIN ANSARI, HOSSEIN KARIMI, F. FARAHMAND, and GH.R. BABAEI, “DEVELOPMENT OF A METHOD FOR OBJECTIVE MEASUREMENT OF ELBOW FLEXORS' SPASTICITY IN PATIENTS WITH HEMIPLEGIA,” DANESHVAR MEDICINE, vol. 10, no. 45, pp. 65–74, 2003, [Online]. Available: https://sid.ir/paper/30644/en

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