Muscle Spasticity
Conditions
Keywords
spasticity, sonoelastography
Brief summary
Objective: 1. to investigate reliability, validity and responsiveness of shearwave elastography (SWE) to assess muscle stiffness of overactive upper or lower limb muscles in different angle joint positions in patients with neurological condition 2. to investigate the relationship between muscle stiffness measured by SWE and by MyotonPro 3. to investigate the correlation between muscle stiffness measured by SWE and clinical outcomes Methods: each patient will be assessed three times: two times at an interval of 15 minutes on the same day and one time at an interval of one week at the same time of the day. The following measurements will be made at each evaluation: SWE, MyotonPro, clinical evaluation. SWE and MytotonPro will be taken at different angle joint position. Outcomes: muscle stiffness measured by SWE and MyotonPro at different angle joint positions, and clinical evaluation (passive range of motion, modified ashworth scale, tardieu scale, fuglmeyer) Hypothesis: SWE is a valid, reliable, and resposive method to assess muscle stiffness in neurological population with muscle overactivity. The results of SWE will be correlated with the results of MyotonPro and with clinical outcomes.
Interventions
DEVICEshearwave elastography
shearwave elastography on upper or lower limb
Sponsors
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* age \> 18 years * hemiparesia/-plegia following neurological condition (TBI, stroke,...) * \> 3 months after injury * muscle overactivity in lower limb
Exclusion criteria
* other neurological or orthopaedic conditions involving the affected limb * aphasia or major cognitive impairment limiting functional assessment * botulinum toxin injection in the last 3 months * previous treatment of muscle overactivity with surgical procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| reliability, validity and responsiveness shearwave elastography (SWE) to assess muscle elasticity | Day 1 | expressed in m/s. A smaller shearwave velocity indicates a better outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| muscle stiffness assessment with MyotonPro | two times day 1 at 15minutes interval + 7-14 days later at same time of the day | a smaller muscle stiffness indicates a better outcome |
Other
| Measure | Time frame | Description |
|---|---|---|
| passive range of motion | day 1 + 7-14 days later at same time of the day | expressed in angles °. The greater the angle, the better the outcome |
| modified ashworth scale | day 1 + 7-14 days later at same time of the day | minimum score:0; maximum score: 4. A higher score indicates a greater spasticity thus a worse outcome |
| Tardieu scale | day 1 + 7-14 days later at same time of the day | minimum score:0; maximum score: 4. A higher score indicates a greater spasticity thus a wourse outcome |
| Fugl-meyer score (Lower extremity; motor function) | day 1 + 7-14 days later at same time of the day | maximum score of 34. The highest the score, the better the motor function |
Countries
Belgium
Outcome results
None listed