Is there any relationship between the modified ashworth scale scores and alpha motoneuron excitability indicators?

Electromyography and Clinical Neurophysiology

Volumn 46, Issue 5, 2006, Pages 279-284

  Ghotbi, N ^a   Olyaei, Gholamreza R ^a   Hadian, M R ^a   Ansari, N N ^a   Bagheri, H ^a  

^a TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

Author keywords

Hoffmann reflex; MAS; Recruitmentt curve; Spasticity; Stroke

Indexed keywords

ADULT; ALPHA NERVE FIBER; ANALYSIS OF VARIANCE; ARTICLE; CLINICAL ARTICLE; CORRELATION ANALYSIS; DATA ANALYSIS; EVOKED RESPONSE; FEMALE; FUNCTIONAL ASSESSMENT; HEMIPLEGIA; HOFFMANN REFLEX; HUMAN; INTERMETHOD COMPARISON; LATENT PERIOD; MALE; MODIFIED ASHWORTH SCALE; MUSCLE FUNCTION; MUSCLE HYPERTONIA; MUSCLE REFLEX; NERVE EXCITABILITY; SCORING SYSTEM; SENSORY SYSTEM ELECTROPHYSIOLOGY; SPASTICITY; SPINAL NERVE; STATISTICAL SIGNIFICANCE;

ADULT; ANKLE JOINT; CEREBROVASCULAR ACCIDENT; ELECTROMYOGRAPHY; FEMALE; H-REFLEX; HEMIPLEGIA; HUMANS; LEG; MALE; MOTOR NEURONS; MUSCLE SPASTICITY; MUSCLE, SKELETAL; RANGE OF MOTION, ARTICULAR; REPRODUCIBILITY OF RESULTS; STROKE;

EID: 33749330102     PISSN: 0301150X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (24)

1. Pandyan, A.D., Price, C.I.M., Rodgers, H., Barnes, M.P. and Johnson, G.R.: Biomechanical examination of a commonly used measure of spasticity, Clinical Biomechanics, 16: 859-865, 2001.
2. Sehgal, N. and McGuire, J.R.: Beyond Ashworth: Electro physiologic quantification of spasticity, Physical Medicine and Rehabilitation Clinics of North America, 9(4): 949-979, 1998.
3. Katz, R.T., Rovai, G.P., Brait, C. and Rymer, W.Z.: Objective quantification of spastic hypertonia: Correlation with clinical findings, Arch Phys Med Rehabil., 73: 339-47, 1992.
4. Harburn, K.L., Hill, K.M., Vandervoort, A.A., Helewa, A., Goldsmith, C.H., Kertesz, A. and Teasell, R.W.: Spasticity measurements in stroke, Canadian Journal of Public Health, 83(suppl.2): s41-s45, 1992.
5. Bakheit, A.M., Maynard, V.A., Curnow, J., HUDSON, N. and Kodapala, S.: The relation between Ashworth scale scores and the excitability of alpha motor neurons in patients with post-stroke muscle spasticity, J Neurology Neurosurgery Psychiatry, 74: 646-648, 2003.
6. Pandyan, A.D., Price, C.I.M., Barnes, M.P. and Johnson, G.R.: A biomechanical investigation into the validity of modified Ashworth scale as a measure of elbow spasticity, Clinical Rehabilitation, 17: 290-294, 2003.
7. Johnson, G.R.: Measurement of Spasticity, In: Barnes, M.P. and Johnson, G.R. (eds), Upper Motor Neuron Syndrome and Spasticity: Clinical Measurement and Neurophysiology, pp. 79-95, Cambridge University Press, Cambridge, 2001.
8. Pisano, F., Miscio, G., Conte, C.D., Pianca, D., Candeloro, E. and Colombo, R.: Quantitative measures of spasticity in post stroke patients, Clinical Neurophysiology, 111: 1015-1022, 2000.
9. Delwaide, P.J.: Electrophysiologic testing of spastic patients:its potential usefulness and limitations In: Delwaide, P.J. and Young, R.R., (eds.), Clinical neurophysiology of spasticity: contributions to assessment and pathophysiology, pp. 185-203, Elsevier, Amsterdam, 1985.
10. Joodaki, M.R., Olyaei, G.R. and Bagheri, H.: The effects of electrical stimulation of the lower extremity on H-reflex and F-wave parameters. Electromyography and Clinical Neurophysiology, 41: 21-28, 2001.
11. Funase, K., Higashi, T., Yashimura, T., Imanaka, K. and Nishihira, Y.: Evident difference in the excitability of the motoneuron pool between normal subjects and patients with spasticity assessed by a new method using H-reflex and M-response, Neuroscience Letters, 203: 127-130, 1996.
12. Higashi, T., Funase, K., Kusano, K., Tabira, T., Harada, N., Sakakibara, A. and Yoshimura, T.: Motoneuron pool excitability of hemiplegic patients: Assessing recovery stages by using H-reflex and M-response, Arch Phys Med Rehabil., 82(11): 1604-10, 2001.
13. Bradnam, L., Rochester, L. and Vujnovich, A.: Manual cervical traction reduces alpha-motoneuron excitability in normal subjects. Electromyography and Clinical Neurophysiology, 40: 259-266, 2000.
14. Pandyan, A.D., Johnson, G.R., Price, C.I.M., Curless, R.H., Barnes, M.P. and Rodgers, H.: A review of the properties and limitations of the Ashworth and modified Ashworth scales as measures of spasticity, Clinical Rehabilitation, 13: 373-383, 1999.
15. Bohannon, R.W. and Smith, M.B.: Inter-rater reliability of a modified Ashworth scale of muscle spasticity, Physical Therapy, 67(2): 206-207, 1987.
16. Vattanasilp, W., Ada, L. and Crosbie, J.: Contribution of thixotropy, spasticity, and contracture to ankle stiffness after stroke, J. Neurology Neurosurgery Psychiatry, 69: 34-39, 2000.
17. Ansari, N.N., Naghdi, S., Moammeri, H. and Jalaie S.: Ashworth scales are unreliable for the assessment of muscle spasticity. Physiotherapy Theory and Practice, 22(3): 1-7, 2006.
18. Skold, C., Harms-Ringdahl, K., Hutling, C., Levi, R. and Seiger, A.: Simultaneous Ashworth measurements and electromyography recordings in tetraplegic patients, Arch Phys Med Rehabil., 79: 959-65, 1998.
19. Cooper, A., Musra, I.M., van Deursen, R. and Wiles, C.M.: Electromyography characterization of stretch responses in hemiparetic patients and their relationship with the Modified Ashworth Scale, Clinical Rehabilitation, 19: 760-766, 2005.
20. Allison, S.C. and Abraham, L.D.: Correlation of quantitative measures with the modified Ashworth scale in the assessment of plantar flexor spasticity in patients with traumatic brain injury. Neurology, 242: 699-706, 1995.
21. Pizzi, A., Carlucci, G., Falsini, C., Verdesca, S., Grippo, A.: Evaluation of upper limb spasticity after stroke: A clinical and neurophysiologic study, Arch Phys Med Rehabil., 86: 410-415, 2005.
22. Priebe, M.M., Sherwood, A.M., Thornby, J.I., Kharas, N.F. and Markowski, J.: Clinical assessment of spasticity in spinal cord injury: A multidimensional problem, Arch Phys Med Rehahil., 77: 713-716, 1996.
23. Schieppati, M.: The Hoffmann reflex: A means of assessing spinal reflex excitability and its descending control in man, Progress in Neurobiology, 28: 345-476, 1987.
24. Voerman, G.E., Gregoric, M. and Hermens, H.J.: Neurophysiologic methods for the assessment of spasticity: The Hoffmann reflex, the tendon reflex, and the stretch reflex. Disability and Rehabilitation, 27(1/2): 33-68, 2005.