지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 384 - 395 (12page)
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초록· 키워드
오류제보하기
Objective To determine the possibility of a new measurement tool using electromyography and ultrasonography for quantitative spasticity assessment in post-stroke patients. Methods Eight hemiplegic stroke patients with ankle plantarflexor spasticity confirmed by a Modified Ashworth Scale (MAS) were enrolled. Spasticity was evaluated using the MAS and Modified Tardieu Scale (MTS). Each subject underwent surface electromyography (sEMG) using the Brain Motor Control Assessment (BMCA) protocol and was compared with a healthy control group. Using ultrasonography, muscle architecture and elasticity index were measured from the medial gastrocnemius muscle (GCM) on the affected and unaffected sides. Results MAS and MTS revealed significant correlation with sEMG activity. The fascicle length and pennation angle were significantly decreased in the medial GCM on the hemiplegic side compared with the unaffected side. The elasticity index of the spastic medial GCM was significantly increased compared with the unaffected side. The MTS X and R2–R1 values were significantly correlated with the elasticity index in the hemiplegic GCM. The relationship between clinical evaluation tools and both BMCA and sonoelastography was linear, but not statistically significant in the multiple regression analysis. Conclusion The BMCA protocol and ultrasonographic evaluation provide objective assessment of post-stroke spasticity. Further studies are necessary to conduct accurate assessment and treatment of spasticity.
목차
등록된 정보가 없습니다.
참고문헌 (35)
참고문헌 신청
Lance JW / 1980 / The control of muscle tone, reflexes, and movement: Robert Wartenberg Lecture / Neurology 30:1303~1313
van Wijck FM / 2001 / Assessing motor deficits in neurological rehabilitation: patterns of instrument usage / Neurorehabil Neural Repair 15:23~30
Li F / 2014 / Test-retest reliability and inter-rater reliability of the Modified Tardieu Scale and the Modified Ashworth Scale in hemiplegic patients with stroke / Eur J Phys Rehabil Med 50:9~15
Alibiglou L / 2008 / The relation between Ashworth scores and neuromechanical measurements of spasticity following stroke / J Neuroeng Rehabil 5:18
Biering-Sorensen F / 2006 / Spasticityassessment: a review / Spinal Cord 44:708~722
van Wijck FM / 2001 / Assessing motor deficits in neurological rehabilitation: patterns of instrument usage / Neurorehabil Neural Repair 15:23~30
Li F / 2014 / Test-retest reliability and inter-rater reliability of the Modified Tardieu Scale and the Modified Ashworth Scale in hemiplegic patients with stroke / Eur J Phys Rehabil Med 50:9~15
Alibiglou L / 2008 / The relation between Ashworth scores and neuromechanical measurements of spasticity following stroke / J Neuroeng Rehabil 5:18
Biering-Sorensen F / 2006 / Spasticityassessment: a review / Spinal Cord 44:708~722
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