Occurence and Clinical Predictors of Spasticity After Ischemic Stroke (ENG)

Two hundred eleven patients (70.1%) were reassessed after 6 months. Of these, 42.6% (n90) had developed spasticity. A more severe degree of spasticity (Modified Ashworth Scale
3) was observed in 15.6% of all patients. The prevalence of spasticity did not differ between upper and lower limbs, but in the upper limb muscles, higher degrees of spasticity (Modified Ashworth Scale
3) were more frequently (18.9%) observed than in the lower limbs (5.5%). Regression analysis used to test the differences between upper and lower limbs showed that patients with more severe paresis in the proximal and distal limb muscles had a higher risk for developing spasticity (P0.001). Spasticity of the upper and lower limb was more frequent in patients with hemihypesthesia than in patients without sensory deficits (P0.001). Patients with spasticity showed a lower Barthel Index and EQ-5D score compared with the group without spasticity
Автор:  Peter P. Urban, MD, PhD; Thomas Wolf, MD; Michael Uebele, MD; Ju¨ rgen J. Marx, MD, PhD; Thomas Vogt, MD, PhD; Peter Stoeter, MD, PhD; Thomas Bauermann, MD; Carsten Weibrich, MD; Goran D. Vucurevic, MD; Astrid Schneider, MS; Jo¨ rg Wissel, MD, PhD
Год публикации:  2012
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