Spasticity in adults with cerebral palsy and multiple sclerosis measured by objective clinically applicable technique
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Spasticity in adults with cerebral palsy and multiple sclerosis measured by objective clinically applicable technique. / Yamaguchi, Tomofumi; Hvass Petersen, Tue; Kirk, Henrik; Forman, Christian Riis; Svane, Christian; Kofoed-Hansen, Mathilde; Boesen, Finn; Lorentzen, Jakob.
In: Clinical Neurophysiology, Vol. 129, No. 9, 2018, p. 2010-2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Spasticity in adults with cerebral palsy and multiple sclerosis measured by objective clinically applicable technique
AU - Yamaguchi, Tomofumi
AU - Hvass Petersen, Tue
AU - Kirk, Henrik
AU - Forman, Christian Riis
AU - Svane, Christian
AU - Kofoed-Hansen, Mathilde
AU - Boesen, Finn
AU - Lorentzen, Jakob
N1 - CURIS 2018 NEXS 254
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
KW - Contractures
KW - Neurological disorder
KW - Spasticity
U2 - 10.1016/j.clinph.2018.07.004
DO - 10.1016/j.clinph.2018.07.004
M3 - Journal article
C2 - 30053672
AN - SCOPUS:85050313406
VL - 129
SP - 2010
EP - 2021
JO - Clinical Neurophysiology
JF - Clinical Neurophysiology
SN - 1388-2457
IS - 9
ER -
ID: 200537382