Spasticity, Muscle, Spinal Cord Injuries
Conditions
Keywords
Spasticity, Spinal cord injury, Validity, Reliability
Brief summary
The aim of the study is to verify validity and reliability of the Muscle excitability scale (MES), which has been developed to access muscle susceptibility to spasms and/or clones as part of spastic motor behavior in spinal cord injured patients.
Detailed description
The muscle excitability scale (MES) is intended for patients after spinal cord injury. The objective is to evaluate a motor response (muscle spasms or clones) to a sensory or motor stimulus. A sensory stimulus is created by thumb and pointfinger compression of cutaneous tissue on the inside part of the middle thigh and calf. A motor stimulus is created by passive movement of the lower limb to flexion and extension. The MES grades from 0 to 4 reflect the muscle spastic or clonic tendency and the extent of this motor response (from isolated to generalized). Two investigators will examine a spastic motor behavior in 50 chronic SCI subjects using MES, Modificated Ashworth Scale (MAS) and Penn Spasms Frequency Scale (PSFS) to verify the validity and reliability of the MES.
Interventions
PROCEDUREManual examination
With the patient in a supine position, squeeze the skinfold between your thumb and pointfinger on the inner aspect of the middle third of the thigh and on the inner aspect of the middle third of the calf. Place your hand under the proximal calf and the heel and move the leg into maximum flexion at the hip and knee joints. After the response, if any, is completed, move the limb back into full extension. Each of these movements lasts for one second.
Sponsors
University Hospital, Motol
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Spasticity in Spinal Cord Injury
Exclusion criteria
* Parallel brain injury * Cognitive deficit affecting cooperation * Acute infection or other sudden complication * Recent change of antispastic medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Muscle Excitability Scale | through study completion, an average of 1 year | Scoring from 0 to 4; 0 = no motor response (muscle spasm or clonus) to a tactile stimulus or passive movement; 4 = generalized motor response to both a tactile stimulus and passive movement |
| Modified Ashworth Scale | through study completion, an average of 1 year | Scoring from 0 to 4; 0 = no increase in muscle tone; 4 = affected part(s) rigid in flexion or extension |
| Penn Spasm Frequency Scale | through study completion, an average of 1 year | Scoring 0 to 4; 0 = no spasms; 4 = spasms occurring more than 10 times per hour |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Calculation of validity and reliability index of Muscle Excitability Scale | through study completion, an average of 1 year | To determine validity, inter-rater and intra-rater reliability of the Muscle Excitability Scale |
Countries
Czechia
Outcome results
None listed