View in EDS HTML Full Text PDF Full Text

Prevalence and evolution of spasticity in patients suffering from first‐ever stroke with carotid origin: a prospective, longitudinal study.

Saved in:
Bibliographic Details
Title: Prevalence and evolution of spasticity in patients suffering from first‐ever stroke with carotid origin: a prospective, longitudinal study.
Authors: Dorňák, T., Navrátilová, D., Otruba, P., Kaňovský, P., Justanová, M., Bareš, M., Konvalinková, R., Hoskovcová, M., Srp, M., Gál, O., Jech, R., Říha, M., Mužík, J., Svobodová, I., Dušek, L.
Source: European Journal of Neurology. Jun2019, Vol. 26 Issue 6, p880-886. 7p. 3 Charts, 1 Graph.
Subjects: Spasticity, Longitudinal method, Muscle tone, Stroke, Barthel Index, Disease prevalence
Abstract: Background and purpose: The main aim of the study was to document the occurrence and evolution of post‐stroke spasticity (PSS). The secondary goal was to identify predictors for increases and decreases in PSS rates during 12 months of subsequent follow‐up. Methods: In a longitudinal, multicenter, prospective cohort study, assessments were done at 7 days (V1), 6 months (V2), and 12 months (V3) after stroke onset. A total of 307 consecutive patients from four comprehensive stroke centers with the first‐ever stroke of carotid origin and the presence of motor deficit at day 7 were included. The demographic data, baseline characteristics, Barthel index, degree and pattern of paresis and muscle tone were evaluated and recorded. Spasticity was assessed using the modified Ashworth scale. Results: Spasticity was present in 45.0% of patients at V1, in 49.5% at V2, and in 43.2% at V3. A significant number of patients experienced changes in spasticity between visits: increased/new occurrence of spasticity in 32.5% (V1 and V2) and in 13.6% (V2 and V3) of patients; decreased occurrence/disappearance of spasticity in 18.5% (V1 and V2) and in 18.3% (V2 and V3) of patients. The number of patients with severe spasticity increased throughout the year, from 2.6% to 13.0% (V2) and 12.5% (V3). Conclusions: Spasticity developed in almost half of the included patients. The degree of spasticity often changed over time, in both directions. The rate of severe spasticity increased during the first year, with the maximum at 6 months following stroke onset. [ABSTRACT FROM AUTHOR]
Copyright of European Journal of Neurology is the property of Wiley-Blackwell 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.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 136151104
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Prevalence and evolution of spasticity in patients suffering from first‐ever stroke with carotid origin: a prospective, longitudinal study.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Dorňák%2C+T%2E%22">Dorňák, T.</searchLink><br /><searchLink fieldCode="AR" term="%22Navrátilová%2C+D%2E%22">Navrátilová, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Otruba%2C+P%2E%22">Otruba, P.</searchLink><br /><searchLink fieldCode="AR" term="%22Kaňovský%2C+P%2E%22">Kaňovský, P.</searchLink><br /><searchLink fieldCode="AR" term="%22Justanová%2C+M%2E%22">Justanová, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Bareš%2C+M%2E%22">Bareš, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Konvalinková%2C+R%2E%22">Konvalinková, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Hoskovcová%2C+M%2E%22">Hoskovcová, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Srp%2C+M%2E%22">Srp, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Gál%2C+O%2E%22">Gál, O.</searchLink><br /><searchLink fieldCode="AR" term="%22Jech%2C+R%2E%22">Jech, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Říha%2C+M%2E%22">Říha, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Mužík%2C+J%2E%22">Mužík, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Svobodová%2C+I%2E%22">Svobodová, I.</searchLink><br /><searchLink fieldCode="AR" term="%22Dušek%2C+L%2E%22">Dušek, L.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22European+Journal+of+Neurology%22">European Journal of Neurology</searchLink>. Jun2019, Vol. 26 Issue 6, p880-886. 7p. 3 Charts, 1 Graph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Spasticity%22">Spasticity</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Muscle+tone%22">Muscle tone</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Barthel+Index%22">Barthel Index</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background and purpose: The main aim of the study was to document the occurrence and evolution of post‐stroke spasticity (PSS). The secondary goal was to identify predictors for increases and decreases in PSS rates during 12 months of subsequent follow‐up. Methods: In a longitudinal, multicenter, prospective cohort study, assessments were done at 7 days (V1), 6 months (V2), and 12 months (V3) after stroke onset. A total of 307 consecutive patients from four comprehensive stroke centers with the first‐ever stroke of carotid origin and the presence of motor deficit at day 7 were included. The demographic data, baseline characteristics, Barthel index, degree and pattern of paresis and muscle tone were evaluated and recorded. Spasticity was assessed using the modified Ashworth scale. Results: Spasticity was present in 45.0% of patients at V1, in 49.5% at V2, and in 43.2% at V3. A significant number of patients experienced changes in spasticity between visits: increased/new occurrence of spasticity in 32.5% (V1 and V2) and in 13.6% (V2 and V3) of patients; decreased occurrence/disappearance of spasticity in 18.5% (V1 and V2) and in 18.3% (V2 and V3) of patients. The number of patients with severe spasticity increased throughout the year, from 2.6% to 13.0% (V2) and 12.5% (V3). Conclusions: Spasticity developed in almost half of the included patients. The degree of spasticity often changed over time, in both directions. The rate of severe spasticity increased during the first year, with the maximum at 6 months following stroke onset. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of European Journal of Neurology is the property of Wiley-Blackwell 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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=136151104
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/ene.13902
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 880
    Subjects:
      – SubjectFull: Spasticity
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Muscle tone
        Type: general
      – SubjectFull: Stroke
        Type: general
      – SubjectFull: Barthel Index
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
    Titles:
      – TitleFull: Prevalence and evolution of spasticity in patients suffering from first‐ever stroke with carotid origin: a prospective, longitudinal study.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Dorňák, T.
      – PersonEntity:
          Name:
            NameFull: Navrátilová, D.
      – PersonEntity:
          Name:
            NameFull: Otruba, P.
      – PersonEntity:
          Name:
            NameFull: Kaňovský, P.
      – PersonEntity:
          Name:
            NameFull: Justanová, M.
      – PersonEntity:
          Name:
            NameFull: Bareš, M.
      – PersonEntity:
          Name:
            NameFull: Konvalinková, R.
      – PersonEntity:
          Name:
            NameFull: Hoskovcová, M.
      – PersonEntity:
          Name:
            NameFull: Srp, M.
      – PersonEntity:
          Name:
            NameFull: Gál, O.
      – PersonEntity:
          Name:
            NameFull: Jech, R.
      – PersonEntity:
          Name:
            NameFull: Říha, M.
      – PersonEntity:
          Name:
            NameFull: Mužík, J.
      – PersonEntity:
          Name:
            NameFull: Svobodová, I.
      – PersonEntity:
          Name:
            NameFull: Dušek, L.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 06
              Text: Jun2019
              Type: published
              Y: 2019
          Identifiers:
            – Type: issn-print
              Value: 13515101
          Numbering:
            – Type: volume
              Value: 26
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: European Journal of Neurology
              Type: main
ResultId 1