Prevalence, Onset, Evolution, and Prediction of Spasticity Poststroke: A Longitudinal Study
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Universidad del Rosario
2023
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| _version_ | 1876440937619521536 |
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| author | Paulina Sepúlveda |
| author_facet | Paulina Sepúlveda |
| contents | Prevalence, Onset, Evolution, and Prediction of Spasticity Poststroke: A Longitudinal Study Paulina Sepúlveda Claudia Rivas Rodrigo Rivas José L Saiz Arlette Doussoulin Salud stroke risk factors rehabilitation upper extremity Muscle spasticity Introduction: Because of the complex physiopathology of spasticity, it is distinguished as one of the most significant positive clinical signs of upper motor neuron syndrome, constituting a clinical feature that has great impact in the neurorehabilitation setting. Thus, the current study aimed to determine the prevalence, onset, evolution, and prediction of spasticity after a stroke. Materials and Methods: A correlational, longitudinal design was used. A total of 136 patients were evaluated at the following times: 10 days (T1), 3 months (T2), and 12 months (T3) poststroke. The initial evaluation included sociodemographic and clinical data (T1). Muscle tone was measured (T1, T2, and T3) using the Modified Ashworth Scale. Results: The prevalence of poststroke spasticity in the elbow was 37.5 % at T1 and 57.4 % at T2 and T3. Among patients with motor damage, the onset of spasticity occurred at T1 in 44.7 %, between T1 and T2 in 23.7 %, and between T2 and T3 in 0.9 %. Significant predictors of the alteration in muscular tone for at least two of the evaluation times were ethnic self-classification, type, area, extent of stroke, and number of sessions. Conclusions: Spasticity onset occurs during the first 10 days after a stroke. More clinical than sociodemographic variables predicted spasticity. 2023 artículo científico 1692-7273 https://www.redalyc.org/articulo.oa?id=56276342007 https://www.redalyc.org/journal/562/56276342007/ https://www.redalyc.org/journal/562/56276342007/html/ https://www.redalyc.org/journal/562/56276342007/56276342007.epub https://www.redalyc.org/journal/562/56276342007/movil 10.12804/revistas.urosario.edu.co/revsalud/a.11318 en http://www.redalyc.org/revista.oa?id=562 Revista Ciencias de la Salud application/pdf Universidad del Rosario Revista Ciencias de la Salud (Colombia) Num.2 Vol.21 |
| format | Artículo científico |
| id | redalyc_56276342007 |
| institution | Redalyc |
| language | en |
| publishDate | 2023 |
| publisher | Universidad del Rosario |
| spellingShingle | Prevalence, Onset, Evolution, and Prediction of Spasticity Poststroke: A Longitudinal Study Paulina Sepúlveda Salud stroke risk factors rehabilitation upper extremity Muscle spasticity Prevalence, Onset, Evolution, and Prediction of Spasticity Poststroke: A Longitudinal Study Paulina Sepúlveda Claudia Rivas Rodrigo Rivas José L Saiz Arlette Doussoulin Salud stroke risk factors rehabilitation upper extremity Muscle spasticity Introduction: Because of the complex physiopathology of spasticity, it is distinguished as one of the most significant positive clinical signs of upper motor neuron syndrome, constituting a clinical feature that has great impact in the neurorehabilitation setting. Thus, the current study aimed to determine the prevalence, onset, evolution, and prediction of spasticity after a stroke. Materials and Methods: A correlational, longitudinal design was used. A total of 136 patients were evaluated at the following times: 10 days (T1), 3 months (T2), and 12 months (T3) poststroke. The initial evaluation included sociodemographic and clinical data (T1). Muscle tone was measured (T1, T2, and T3) using the Modified Ashworth Scale. Results: The prevalence of poststroke spasticity in the elbow was 37.5 % at T1 and 57.4 % at T2 and T3. Among patients with motor damage, the onset of spasticity occurred at T1 in 44.7 %, between T1 and T2 in 23.7 %, and between T2 and T3 in 0.9 %. Significant predictors of the alteration in muscular tone for at least two of the evaluation times were ethnic self-classification, type, area, extent of stroke, and number of sessions. Conclusions: Spasticity onset occurs during the first 10 days after a stroke. More clinical than sociodemographic variables predicted spasticity. 2023 artículo científico 1692-7273 https://www.redalyc.org/articulo.oa?id=56276342007 https://www.redalyc.org/journal/562/56276342007/ https://www.redalyc.org/journal/562/56276342007/html/ https://www.redalyc.org/journal/562/56276342007/56276342007.epub https://www.redalyc.org/journal/562/56276342007/movil 10.12804/revistas.urosario.edu.co/revsalud/a.11318 en http://www.redalyc.org/revista.oa?id=562 Revista Ciencias de la Salud application/pdf Universidad del Rosario Revista Ciencias de la Salud (Colombia) Num.2 Vol.21 |
| title | Prevalence, Onset, Evolution, and Prediction of Spasticity Poststroke: A Longitudinal Study |
| topic | Salud stroke risk factors rehabilitation upper extremity Muscle spasticity |
| url | https://www.redalyc.org/articulo.oa?id=56276342007 https://www.redalyc.org/journal/562/56276342007/ https://www.redalyc.org/journal/562/56276342007/html/ https://www.redalyc.org/journal/562/56276342007/56276342007.epub https://www.redalyc.org/journal/562/56276342007/movil |