Spasticity in adults with cerebral palsy and multiple sclerosis measured by objective clinically applicable technique
Clinical Neurophysiology, 2018•Elsevier
Objective The present study evaluated ankle stiffness in adults with and without neurological
disorders and investigated the accuracy and reproducibility of a clinically applicable method
using a dynamometer. Methods Measurements were obtained from 8 healthy subjects (age
39.3), 9 subjects with spastic cerebral palsy (CP)(age 39.8) and 8 subjects with multiple
sclerosis (MS)(age 49.9). Slow and fast dorsiflexion stretches of the ankle joint were
performed to evaluate passive muscle-tendon-joint stiffness, reflex mediated stiffness and …
disorders and investigated the accuracy and reproducibility of a clinically applicable method
using a dynamometer. Methods Measurements were obtained from 8 healthy subjects (age
39.3), 9 subjects with spastic cerebral palsy (CP)(age 39.8) and 8 subjects with multiple
sclerosis (MS)(age 49.9). Slow and fast dorsiflexion stretches of the ankle joint were
performed to evaluate passive muscle-tendon-joint stiffness, reflex mediated stiffness and …
Objective
The present study evaluated ankle stiffness in adults with and without neurological disorders and investigated the accuracy and reproducibility of a clinically applicable method using a dynamometer.
Methods
Measurements were obtained from 8 healthy subjects (age 39.3), 9 subjects with spastic cerebral palsy (CP) (age 39.8) and 8 subjects with multiple sclerosis (MS) (age 49.9). Slow and fast dorsiflexion stretches of the ankle joint were performed to evaluate passive muscle-tendon-joint stiffness, reflex mediated stiffness and range of movement (ROM), respectively. Intra/inter-rater reliability for passive and reflex mediated ankle muscle stiffness was assessed for all groups.
Results
Subjects with CP and MS showed significantly larger values of passive stiffness in the triceps surae muscle tendon complex and smaller ROM compared to healthy individuals, while no significant difference in reflex mediated stiffness. Measurements of passive muscle-tendon-joint stiffness and reflex mediated stiffness showed good to excellent inter- and intra-rater reliability (ICC: 0.62–0.91) in all groups.
Conclusion
Increased stiffness was found in subjects with CP and MS with a clinically applicable method that provides valid and reproducible measurement of passive ankle muscle-tendon-joint stiffness and reflex mediated stiffness.
Significance
The present technique may provide important supplementary information for the clinician.
Elsevier
以上显示的是最相近的搜索结果。 查看全部搜索结果