Altered motor control and spasticity after spinal cord injury: subjective and objective assessment
Autor: | A M, Sherwood, D E, Graves, M M, Priebe |
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Rok vydání: | 2000 |
Předmět: |
Adult
Aged 80 and over Male Analysis of Variance Knee Joint Electromyography Reproducibility of Results Middle Aged Sensitivity and Specificity Sampling Studies Thoracic Vertebrae Motor Skills Disorders Injury Severity Score Muscle Spasticity Cervical Vertebrae Humans Female Hip Joint Range of Motion Articular Physical Examination Spinal Cord Injuries Aged |
Zdroj: | Journal of rehabilitation research and development. 37(1) |
ISSN: | 0748-7711 |
Popis: | This study of measures of spasticity, or altered motor control, compares the clinically used Ashworth scale with a method based on surface electromyographic (sEMG) recordings called brain motor control assessment (BMCA) in a group of 97 subjects with spinal cord injury (SCI) and varying levels of motor dysfunction. In this paper, we describe how sEMG-derived scores relate to the severity of spasticity as judged clinically. When sEMG data from passive movements from the BMCA were analyzed by Ashworth category, we found that when the sEMG data were averaged for a limb, there was a significant difference between scores for those with Ashworth 0 vs. 2 and 3, and 1 vs. 2 and 3 (p0.001), but not between 0 and 1. Analysis of the individual muscle scores improved the discrimination between Ashworth categories. Superiority of sEMG data over Ashworth category as an objective quantification of altered motor control ("spasticity") is argued. |
Databáze: | OpenAIRE |
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