scholarly journals Hubungan Antara Rasio H/M pada Stroke Akut dengan Derajad Spastisitas Pascastroke

AKSONA ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 57-61
Author(s):  
Achmad Firdaus Sani ◽  
Yudhi Adrianto ◽  
Fadil Fadil ◽  
Fidiana Fidiana ◽  
Mudjiani Basuki
Keyword(s):  
Modified Ashworth Scale ◽  
Ashworth Scale

Pendahuluan: Spastisitas adalah gangguan motorik yang sering dijumpai dan muncul setelah stroke. Spastisitas dapat menyebabkan nyeri dan disabililitas pada bagian tubuh yang mengalaminya. Tujuan: mencari hubungan antara rasio H/M yang diukur dengan elektromiografi dengan derajad spastisitas yang terjadi setelah fase akut stroke. Metode: Penelitian ini adalah studi analisis korelatif observasional, dengan 26 sampel. Pasien diukur rasio H/M pada saat stroke akut dan diukur derajad spastisitasnya dengan menggunakan Modified Ashworth Scale setelah 3 bulan. Hasil yang didapatkan dilakukan analisa statistik dengan menggunakan tes korelatif kategorik dari Spearman. Hasil: Pasien yang mengikuti penelitian ini sebanyak 26 orang. Terdapat perbedaaan antara nilai H/M rasio antara sisi parese dengan sisi sehat dan tidak didapatkan hubungan yang bermakna antara nilai rasio H/M yang diukur saat fase akut stroke dengan derajad spastisitas yang diukur dengan Modified Ashworth Scale (MAS) setelah 3 bulan (p = 0,06 ; r = 0, 37). Kesimpulan: Rasio H/M pada pasien stroke akut meningkat pada sisi parese dibanding pada sisi sehat, namun peningkatan ini tidak memiliki hubungan yang signifikan dengan derajad spastisitas pasca stroke yang diukur dengan MAS, sehingga rasio H/M tidak dapat digunakan sebagai prediktor munculnya spastisitas pasca stroke

Assessing Motor Deficits in Neurological Rehabilitation: Patterns of Instrument Usage

2001 ◽  
Vol 15 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Frederike M.J. van Wijck ◽  
Anand D. Pandyan ◽  
Garth R Johnson ◽  
Michael P. Barnes
Keyword(s):  
Assessment Tools ◽  
Motor Deficits ◽  
Measurement Technology ◽  
Neurological Rehabilitation ◽  
Clinical Scales ◽  
Frequent Use ◽  
Modified Ashworth Scale ◽  
Use Of Assessment ◽  
Assessment Scales ◽  
Ashworth Scale

To describe current patterns in the use of clinical scales and measurement tech nology for the assessment of motor deficits in neurological rehabilitation. Question naire, sent to the 2,556 members of the World Forum for Neurological Rehabilita tion, distributed over 75 countries. Sixty-eight questionnaires were returned. Generally, participants indicated that the centres where they were based used a num ber of different clinical assessment scales (median, three), most frequently with a small proportion of patients. The (Modified) Ashworth Scale, the FIM, and the Fugl-Meyer were used most frequently. Only 35 respondents stated that their centre used one or more scales in >75% of their patients, but the choice of such routinely applied in struments varied between centres. The application of measurement technology was re stricted, with video and goniometry being used most frequently. The main barriers to more frequent use of assessment tools were perceived to be a lack of resources, infor mation, and training. The (albeit limited) results from this survey suggest that the assessment of motor deficits in neurological rehabilitation is currently mostly qualita tive and lacks standardisation. More resources and education are required to support a more routine application of assessment tools and to integrate measurement tech nology further in neurological rehabilitation to assist in the process of quantification of outcomes. Key Words: Motor deficits—Neurological rehabilitation—Outcome as sessment—Standardisation—Measurement technology.

Interrater reliability of the Modified Modified Ashworth Scale (MMAS) for patients with wrist flexor muscle spasticity

2008 ◽  
Vol 24 (5) ◽  
pp. 372-379 ◽  
Author(s):  
Soofia Naghdi ◽  
Noureddin Nakhostin Ansari ◽  
Somayye Azarnia ◽  
Anoushiravan Kazemnejad
Keyword(s):  
Interrater Reliability ◽  
Flexor Muscle ◽  
Muscle Spasticity ◽  
Wrist Flexor ◽  
Modified Ashworth Scale ◽  
Ashworth Scale

Functional electrical stimulation for equine epaxial muscle spasms: retrospective study of 241 clinical cases

2014 ◽  
Vol 10 (2) ◽  
pp. 89-97 ◽  
Author(s):  
S.J. Schils ◽  
T.A. Turner
Keyword(s):  
Electrical Stimulation ◽  
Retrospective Study ◽  
Functional Electrical Stimulation ◽  
Sustained Improvement ◽  
Modified Ashworth Scale ◽  
Muscle Spasms ◽  
Ashworth Scale ◽  
Epaxial Muscle ◽  
Clinical Cases

A retrospective study of 241 clinical cases, utilising over 1,800 functional electrical stimulation (FES) treatments to alleviate epaxial muscle spasms, showed that almost 80% (191) of the horses had a 1-grade improvement in muscle spasms after 2 FES treatments, based on the Modified Ashworth Scale adapted to horses. In addition, 60% (142) of these horses showed a sustained improvement for a minimum of 2 months.

Selective dorsal rhizotomy in children with spastic hemiparesis

2010 ◽  
Vol 6 (4) ◽  
pp. 353-358 ◽  
Author(s):  
Allison Oki ◽  
Wende Oberg ◽  
Beth Siebert ◽  
Dutch Plante ◽  
Marion L. Walker ◽  
...  
Keyword(s):  
Stride Length ◽  
The Other ◽  
Assessment Scale ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Spastic Hemiparesis ◽  
Gait Assessment ◽  
Modified Ashworth Scale ◽  
Ashworth Scale

Object Neurological conditions including cerebral palsy, brain injury, and stroke often result in severe spasticity, which can lead to significant deformity and interfere with function. Treatments for spasticity include oral medications, intramuscular botulinum toxin type A injections, orthopedic surgeries, intrathecal baclofen pump implantation, and selective dorsal rhizotomy (SDR). Selective dorsal rhizotomy, which has been well studied in children with spastic diplegia, results in significant reduction in spasticity and improved function in children. To the authors' knowledge, there are no published outcome data for SDR in patients with spastic hemiparesis. The object of this study was to examine the effects of SDR on spastic hemiparesis. Methods A 2-year study was undertaken including all children with spastic hemiparesis who underwent SDR at the authors' institution. The degree of spasticity, as measured by the Modified Ashworth Scale or quality of gait rated using the visual gait assessment scale, the gait parameters, and velocity were compared in patients before and after undergoing SDR. Results Thirteen children (mean age 6 years 7 months) with spastic hemiparesis underwent SDR performed by the same surgeon during a 2-year period. All of the patients had a decrease in tone in the affected lower extremity after the procedure. The mean reduction in tone in 4 muscle groups (hip adductors, knee flexors, knee extensors, and ankle plantar flexors) according to the modified Ashworth scale score was 2.6 ± 1.26 (p < 0.0001). The quality of gait was assessed in 7 patients by using the visual gait assessment scale. This score improved in 6 patients and remained the same in 1. Stride length and gait velocity were measured in 4 children. Velocity increased in 3 patients and decreased in a 3-year-old child. Parents and clinicians reported an improvement in quality of gait after the procedure. Stride length increased bilaterally in 3 patients and increased on one side and decreased on the other in the other patient. Conclusions Selective dorsal rhizotomy showed efficacy in the treatment of spastic hemiparesis in children. All of the patients had decreased tone after SDR as measured by the modified Ashworth scale. The majority of patients had qualitative and quantitative improvements in gait.

Inter-rater reliability of the Modified Modified Ashworth Scale as a clinical tool in measurements of post-stroke elbow flexor spasticity

2009 ◽  
Vol 24 (3) ◽  
pp. 225-229 ◽  
Author(s):  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Scott Hasson ◽  
Atefeh Mousakhani ◽  
Azam Nouriyan ◽  
...  
Keyword(s):  
Elbow Flexor ◽  
Clinical Tool ◽  
Rater Reliability ◽  
Post Stroke ◽  
Modified Ashworth Scale ◽  
Ashworth Scale

Inter-rater Reliability of the Modified Ashworth Scale Tested Using Consistent Movement Speeds

2018 ◽  
Vol 99 (12) ◽  
pp. e205-e206
Author(s):  
Chetan Phadke ◽  
Erica Zurawski ◽  
Kirsten Behm ◽  
Charlotte Dunlap ◽  
James Koo ◽  
...  
Keyword(s):  
Rater Reliability ◽  
Modified Ashworth Scale ◽  
Ashworth Scale

Inter- and intrarater reliability of the Modified Modified Ashworth Scale in patients with knee extensor poststroke spasticity

2008 ◽  
Vol 24 (3) ◽  
pp. 205-213 ◽  
Author(s):  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Parastoo Younesian ◽  
Mohammad Shayeghan
Keyword(s):  
Knee Extensor ◽  
Intrarater Reliability ◽  
Modified Ashworth Scale ◽  
Ashworth Scale

scholarly journals Hand Robotics Rehabilitation: Feasibility and Preliminary Results of a Robotic Treatment in Patients with Hemiparesis

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Patrizio Sale ◽  
Valentina Lombardi ◽  
Marco Franceschini
Keyword(s):  
Acute Stroke ◽  
Hand Function ◽  
Stroke Patients ◽  
Robot Assisted ◽  
Rehabilitative Treatment ◽  
Modified Ashworth Scale ◽  
Extensor Muscles ◽  
Function Recovery ◽  
Ashworth Scale ◽  
Flexion And Extension

Background. No strongly clinical evidence about the use of hand robot-assisted therapy in stroke patients was demonstrated. This preliminary observer study was aimed at evaluating the efficacy of intensive robot-assisted therapy in hand function recovery, in the early phase after a stroke onset.Methods. Seven acute ischemic stroke patients at their first-ever stroke were enrolled. Treatment was performed using Amadeo robotic system (Tyromotion GmbH Graz, Austria). Each participant received, in addition to inpatients standard rehabilitative treatment, 20 sessions of robotic treatment for 4 consecutive weeks (5 days/week). Each session lasted for 40 minutes. The exercises were carried out as follows: passive modality (5 minutes), passive/plus modality (5 minutes), assisted therapy (10 minutes), and balloon (10 minutes). The following impairment and functional evaluations, Fugl-Meyer Scale (FM), Medical Research Council Scale for Muscle Strength (hand flexor and extensor muscles) (MRC), Motricity Index (MI), and modified Ashworth Scale for wrist and hand muscles (AS), were performed at the beginning (T0), after 10 sessions (T1), and at the end of the treatment (T2). The strength hand flexion and extension performed by Robot were assessed at T0 and T2. The Barthel Index and COMP (performance and satisfaction subscale) were assessed at T0 and T2.Results. Clinical improvements were found in all patients. No dropouts were recorded during the treatment and all subjects fulfilled the protocol. Evidence of a significant improvement was demonstrated by the Friedman test for the MRC (P<0.0123). Evidence of an improvement was demonstrated for AS, FM, and MI.Conclusions. This original rehabilitation treatment could contribute to increase the hand motor recovery in acute stroke patients. The simplicity of the treatment, the lack of side effects, and the first positive results in acute stroke patients support the recommendations to extend the clinical trial of this treatment, in association with physiotherapy and/or occupational therapy.

scholarly journals Botulinum Toxin Type A and Physiotherapy in Spasticity of the Lower Limbs Due to Amyotrophic Lateral Sclerosis

Toxins ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 381 ◽  
Author(s):  
Riccardo Marvulli ◽  
Marisa Megna ◽  
Aurora Citraro ◽  
Ester Vacca ◽  
Marina Napolitano ◽  
...  
Keyword(s):  
Amyotrophic Lateral Sclerosis ◽  
Rating Scale ◽  
Botulinum Toxin Type A ◽  
Type A ◽  
Botulinum Toxin Type ◽  
Lower Limbs ◽  
Number Of Patients ◽  
Modified Ashworth Scale ◽  
Ashworth Scale ◽  
Lateral Sclerosis

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease (unknown pathogenesis) of the central nervous system that causes death within 1–5 years. Clinically, flabby paralysis, areflexia, muscular atrophy, and muscle fasciculations, signs of II motor neuron damage, appear. Sometimes, clinical manifestations of damage of the I motor neuron come out in lower limbs; spastic paralysis, iperflexia, and clonus emerge, and they impair deambulation and management of activities of daily living, such as personal hygiene or dressing. Thus, the first therapeutic approach in these patients involves antispasmodic drugs orally followed by botulinum toxin type A injection (BTX-A). In this study, we study the efficacy of BTX-A and physiotherapy in lower limb spasticity due to ALS and no response to treatment with oral antispastic drugs. We evaluated 15 patients (10 male and five female), with a mean age of 48.06 ± 5.2 with spasticity of adductor magnus (AM), at baseline (T0, before BTX-A treatment) and in the following three follow-up visits (T1 30 days, T2 60 days, and T3 90 days after infiltration). We evaluated myometric measure of muscle tone, the Modified Ashworth Scale of AM, Barthel Index, Adductor Tone Rating Scale, and Hygiene Score. The study was conducted between November 2018 and April 2019. We treated AM with incobotulinum toxin type A (Xeomin®, Merz). Spasticity (myometric measurement, Adductor Tone Rating Scale, and Modified Ashworth Scale) and clinical (Barthel Index and Hygiene Score) improvements were obtained for 90 days after injection (p < 0.05). Our study shows the possibility of using BTX-A in the treatment of spasticity in patients with ALS and no response to oral antispastic drugs, with no side effects. The limitation of the study is the small number of patients and the limited time of observation; therefore, it is important to increase both the number of patients and the observation time in future studies.

scholarly journals Artificial Neural Network Learns Clinical Assessment of Spasticity in Modified Ashworth Scale

2019 ◽  
Vol 100 (10) ◽  
pp. 1907-1915 ◽  
Author(s):  
Jeong-Ho Park ◽  
Yushin Kim ◽  
Kwang-Jae Lee ◽  
Yong-Soon Yoon ◽  
Si Hyun Kang ◽  
...  
Keyword(s):  
Neural Network ◽  
Artificial Neural Network ◽  
Clinical Assessment ◽  
Modified Ashworth Scale ◽  
Artificial Neural ◽  
Ashworth Scale
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