Title |
Early development of spasticity following stroke: a prospective, observational trial
|
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Published in |
Journal of Neurology, February 2010
|
DOI | 10.1007/s00415-010-5463-1 |
Pubmed ID | |
Authors |
Jörg Wissel, Ludwig D. Schelosky, Jeffrey Scott, Walter Christe, Jürgen H. Faiss, Jörg Mueller |
Abstract |
This study followed a cohort of 103 patients at median 6 days, 6 and 16 weeks after stroke and recorded muscle tone, pain, paresis, Barthel Index and quality of life score (EQ-5D) to identify risk-factors for development of spasticity. 24.5% of stroke victims developed an increase of muscle tone within 2 weeks after stroke. Patients with spasticity had significantly higher incidences of pain and nursing home placement and lower Barthel and EQ-5D scores than patients with normal muscle tone. Early predictive factors for presence of severe spasticity [modified Ashworth scale score (MAS) >or=3] at final follow-up were moderate increase in muscle tone at baseline and/or first follow-up (MAS = 2), low Barthel Index at baseline, hemispasticity, involvement of more than two joints at first follow-up, and paresis at any assessment point. The study helps to identify patients at highest risk for permanent and severe spasticity, and advocates for early treatment in this group. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 3 | <1% |
United States | 2 | <1% |
Switzerland | 1 | <1% |
Sweden | 1 | <1% |
Brazil | 1 | <1% |
Taiwan | 1 | <1% |
Iceland | 1 | <1% |
Unknown | 308 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 57 | 18% |
Student > Bachelor | 43 | 14% |
Student > Ph. D. Student | 29 | 9% |
Researcher | 28 | 9% |
Student > Postgraduate | 21 | 7% |
Other | 71 | 22% |
Unknown | 69 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 84 | 26% |
Nursing and Health Professions | 42 | 13% |
Neuroscience | 33 | 10% |
Engineering | 30 | 9% |
Agricultural and Biological Sciences | 14 | 4% |
Other | 32 | 10% |
Unknown | 83 | 26% |