Theoretical and methodological considerations in the measurement of spasticity.

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Title: Theoretical and methodological considerations in the measurement of spasticity.
Authors: Burridge JH (AUTHOR), Wood DE (AUTHOR), Hermens HJ (AUTHOR), Voerman GE (AUTHOR), Johnson GR (AUTHOR), Van Wijck F (AUTHOR), Platz T (AUTHOR), Gregoric M (AUTHOR), Hitchcock R (AUTHOR), Pandyan AD (AUTHOR)
Source: Disability & Rehabilitation. 1/7/2005-1/21/2005, Vol. 27 Issue 1/2, p69-80. 12p.
Abstract: Purpose: To discuss the measurement of spasticity in the clinical and research environments, make recommendations based on the SPASM reviews of biomechanical, neurophysiological and clinical methods of measuring spasticity and indicate future developments of measurement tools.Method: Using the results of the systematic reviews of the biomechanical, neurophysiological and clinical approaches, methods were evaluated across three dimensions: (1) validity, reliability and sensitivity to change; (2) practical quality such as ease of use and (3) qualities specific to the measurement of spasticity, for example ability to be applied to different muscle groups. Methods were considered in terms of applicability to research and clinical applications.Results: A hierarchy of measurement approaches was identified from highly controlled and more objective (but unrelated to function) to ecologically valid, but less objective and subject to contamination from other variables. The lack of a precise definition of spasticity may account for the problem of developing a valid, reliable and sensitive method of measurement. The reviews have identified that some tests measure spasticity per se, some phenomena associated with spasticity or consequential to it and others the effect of spasticity on activity and participation and independence.Conclusions: Methods appropriate for use in research, particularly into the mechanism of spasticity did not satisfy the needs of the clinician and the need for an objective but clinically applicable tool was identified. A clinical assessment may need to generate more than one 'value' and should include evaluation of other components of the upper motor neurone syndrome. There is therefore a need for standardized protocols for 'best practice' in application of spasticity measurement tools and scales. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Theoretical and methodological considerations in the measurement of spasticity.
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  Data: <searchLink fieldCode="AR" term="%22Burridge+JH%22">Burridge JH</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wood+DE%22">Wood DE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hermens+HJ%22">Hermens HJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Voerman+GE%22">Voerman GE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Johnson+GR%22">Johnson GR</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Van+Wijck+F%22">Van Wijck F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Platz+T%22">Platz T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gregoric+M%22">Gregoric M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hitchcock+R%22">Hitchcock R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pandyan+AD%22">Pandyan AD</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. 1/7/2005-1/21/2005, Vol. 27 Issue 1/2, p69-80. 12p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: To discuss the measurement of spasticity in the clinical and research environments, make recommendations based on the SPASM reviews of biomechanical, neurophysiological and clinical methods of measuring spasticity and indicate future developments of measurement tools.Method: Using the results of the systematic reviews of the biomechanical, neurophysiological and clinical approaches, methods were evaluated across three dimensions: (1) validity, reliability and sensitivity to change; (2) practical quality such as ease of use and (3) qualities specific to the measurement of spasticity, for example ability to be applied to different muscle groups. Methods were considered in terms of applicability to research and clinical applications.Results: A hierarchy of measurement approaches was identified from highly controlled and more objective (but unrelated to function) to ecologically valid, but less objective and subject to contamination from other variables. The lack of a precise definition of spasticity may account for the problem of developing a valid, reliable and sensitive method of measurement. The reviews have identified that some tests measure spasticity per se, some phenomena associated with spasticity or consequential to it and others the effect of spasticity on activity and participation and independence.Conclusions: Methods appropriate for use in research, particularly into the mechanism of spasticity did not satisfy the needs of the clinician and the need for an objective but clinically applicable tool was identified. A clinical assessment may need to generate more than one 'value' and should include evaluation of other components of the upper motor neurone syndrome. There is therefore a need for standardized protocols for 'best practice' in application of spasticity measurement tools and scales. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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