Early manifestation of spasticity after first stroke in the territory of the internal carotid artery: A prospective multicenter study
| Autor: | Martin Bareš, Martina Hoskovcová, Romana Konvalinkova, Maria Justanova, Robert Jech, Michal Riha, Martin Srp, Ladislav Dušek, Ota Gal, Petr Kanovsky, Tomas Dornak, Jan Muzik, Pavel Otruba, Daniela Navratilova |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
030506 rehabilitation
Pediatrics medicine.medical_specialty Modified Ashworth scale lcsh:Medicine ischemia General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Modified Rankin Scale medicine.artery Medicine Spasticity cardiovascular diseases Prospective cohort study Stroke Paresis internal carotid business.industry Incidence (epidemiology) lcsh:R spasticity medicine.disease stroke anterior circulation haemorrhage Internal carotid artery medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Biomedical Papers, Vol 162, Iss 4, Pp 319-323 (2018) |
| ISSN: | 1804-7521 |
| Popis: | Aims: The main aim of this study was to provide an estimate of the incidence and prevalence of spasticity following stroke in the internal carotid artery territory for Regional Stroke Centers in the Czech Republic. A secondary goal was to identify predictors for the development of spasticity. Methods: In a prospective cohort study, 256 consecutive patients with clinical signs of central paresis due to a first-ever stroke were examined in the acute stage. All patients had primary stroke of carotid origin and paresis of the upper and/or lower limb for longer than 7 days after stroke onset. All were examined between 7-10 days after the stroke. We evaluated the degree and pattern of paresis, spasticity using the Modified Ashworth scale and the Barthel Index, baseline characteristics and demographic data. Results: Of 256 patients (157 males; mean age 69.9±12.4 years), 115 (44.9%) patients developed spasticity during the first 10 days after stroke onset. Eighty-three (32.5%) patients presented with mild neurological deficit (modified Rankin Scale 0 - 2) and 69 (27.0%) patients were bedridden. Conclusion: Spasticity was noted in 44.9% patients with neurological deficit due to first-ever stroke in the carotid territory in the first 10 days after stroke onset. Severe spasticity was rare. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|