86492
document
Correlation of quantitative measures with the modified Ashworth scale in the assessment of plantar flexor spasticity in patients with traumatic brain injury . This study of plantar flexor spasticity describes relationships among a traditional qualitative spasticity scale , three potential quantitative spasticity measures and a measure of voluntary ankle muscle function . Thirty-four volunteer adult patients with traumatic brain injuries participated . There were 28 males and 6 females ; the mean age was 30.3 years . A battery of five randomly sequenced tests was performed for each subject on one ankle . Tests were : modified Ashworth scale ( MAS ) scoring ; H-reflex testing with and without Achilles tendon vibration ; H-reflex testing with and without dorsiflexor contraction ; reflex threshold angle and timed toe tapping ( TTT ) . Twenty-six subjects returned to have the second ankle tested , resulting in 60 ankles for the analyses . Spearman 's coefficients for correlation of quantitative spasticity measures with MAS scores ranged from 0.39 to 0.49 with associated probabilities < or = 0.002 . Pearson coefficients for correlation of quantitative spasticity measures with TTT scores were lower but also significant ( P < or = 0.07 ) . Multiple correlation for the set of quantitative measures yielded R = 0.614 ( P < 0.001 ) with MAS scores and R = 0.365 ( P = 0.045 ) with TTT scores . These findings reveal statistically significant relationships of low to moderate strength among potential quantitative spasticity measures , a traditional qualitative spasticity scale and a simple measure of voluntary ankle muscle function . Understanding these relationships is an essential part of the ongoing search for quantitative spasticity measures .
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Intervention_Other
modified Ashworth scale
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Intervention_Educational
Ashworth scale ( MAS )
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Intervention_Other
H-reflex testing with and without Achilles tendon vibration
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Intervention_Other
H-reflex testing with and without dorsiflexor contraction
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Intervention_Other
reflex threshold angle and timed toe tapping ( TTT )
86498
Outcome_Physical
modified Ashworth scale ( MAS )
86499
Outcome_Physical
H-reflex testing with and without Achilles tendon vibration
86500
Outcome_Physical
H-reflex testing with and without dorsiflexor contraction
86501
Outcome_Physical
reflex threshold angle
86502
Outcome_Physical
timed toe tapping ( TTT )
86503
Outcome_Physical
MAS scores
86504
Outcome_Physical
TTT scores
86505
Outcome_Physical
MAS scores
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Outcome_Physical
potential quantitative spasticity
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Outcome_Physical
traditional qualitative spasticity scale
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Outcome_Physical
voluntary ankle muscle function
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Participant_Condition
plantar flexor spasticity
86510
Participant_Condition
traumatic brain injury
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Participant_Sample-size
Thirty-four
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Participant_Condition
volunteer adult patients with traumatic brain injuries participated .
86513
Participant_Sample-size
28
86514
Participant_Sample-size
6
86515
Participant_Sample-size
Twenty-six
86516
Participant_Sample-size
60