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Spasticity and contractures at the wrist after stroke: time course of development and their association with functional recovery of the upper limb.

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Title: Spasticity and contractures at the wrist after stroke: time course of development and their association with functional recovery of the upper limb.
Authors: Malhotra, S., Pandyan, AD, Rosewilliam, S., Roffe, C., Hermens, H.
Source: Clinical Rehabilitation. Feb2011, Vol. 25 Issue 2, p184-191. 8p. 3 Charts, 1 Graph.
Subjects: Analysis of variance, Cerebrovascular disease, Computer software, Confidence intervals, Contracture (Pathology), Convalescence, Range of motion of joints, Longitudinal method, Nursing assessment, Scientific observation, People with disabilities, Research funding, Statistical sampling, Spasms, Statistics, Time, U-statistics, Wrist, Data analysis, Secondary analysis, Randomized controlled trials, Disease complications
Abstract: Objective: To investigate the time course of development of spasticity and contractures at the wrist after stroke and to explore if these are associated with upper limb functional recovery.Design: Longitudinal observational study using secondary data from the control group of a randomized controlled trial.Setting: The Acute Stroke Unit at the University Hospital of North Staffordshire.Subjects: Patients without useful arm function (Action Research Arm Test — ARAT) score of 0 within 6 weeks of a first stroke.Main measures: Spasticity was measured by quantifying muscle activity during passively imposed stretches at two velocities. Contractures were measured by quantifying passive range of movement and stiffness. Upper limb functional movement was assessed using the ARAT. All assessments were conducted at baseline, and at 6, 12, 24 and 36 weeks after recruitment.Results: Thirty patients (43% male, median age 70 (range 52—90) years, median time since stroke onset 3 (range 1—5) weeks) were included. Twenty-eight (92%) demonstrated signs of spasticity throughout the study period. Participants who recovered arm function (n = 5) showed signs of spasticity at all assessment points but did not develop contractures. Patients who did not recover useful arm function (n = 25) had signs of spasticity and changes associated with contracture formation at all time points tested.Conclusion: In this group of patients who had no arm function within the first 6 weeks of stroke, spasticity was seen early, but did not necessarily hinder functional recovery. Contractures were more likely to develop in patients who did not recover arm function. [ABSTRACT FROM PUBLISHER]
Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. 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
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  Data: Spasticity and contractures at the wrist after stroke: time course of development and their association with functional recovery of the upper limb.
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  Data: <searchLink fieldCode="AR" term="%22Malhotra%2C+S%2E%22">Malhotra, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Pandyan%2C+AD%22">Pandyan, AD</searchLink><br /><searchLink fieldCode="AR" term="%22Rosewilliam%2C+S%2E%22">Rosewilliam, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Roffe%2C+C%2E%22">Roffe, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Hermens%2C+H%2E%22">Hermens, H.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Rehabilitation%22">Clinical Rehabilitation</searchLink>. Feb2011, Vol. 25 Issue 2, p184-191. 8p. 3 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebrovascular+disease%22">Cerebrovascular disease</searchLink><br /><searchLink fieldCode="DE" term="%22Computer+software%22">Computer software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Contracture+%28Pathology%29%22">Contracture (Pathology)</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Range+of+motion+of+joints%22">Range of motion of joints</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+assessment%22">Nursing assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Scientific+observation%22">Scientific observation</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+disabilities%22">People with disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Spasms%22">Spasms</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Time%22">Time</searchLink><br /><searchLink fieldCode="DE" term="%22U-statistics%22">U-statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Wrist%22">Wrist</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
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  Data: Objective: To investigate the time course of development of spasticity and contractures at the wrist after stroke and to explore if these are associated with upper limb functional recovery.Design: Longitudinal observational study using secondary data from the control group of a randomized controlled trial.Setting: The Acute Stroke Unit at the University Hospital of North Staffordshire.Subjects: Patients without useful arm function (Action Research Arm Test — ARAT) score of 0 within 6 weeks of a first stroke.Main measures: Spasticity was measured by quantifying muscle activity during passively imposed stretches at two velocities. Contractures were measured by quantifying passive range of movement and stiffness. Upper limb functional movement was assessed using the ARAT. All assessments were conducted at baseline, and at 6, 12, 24 and 36 weeks after recruitment.Results: Thirty patients (43% male, median age 70 (range 52—90) years, median time since stroke onset 3 (range 1—5) weeks) were included. Twenty-eight (92%) demonstrated signs of spasticity throughout the study period. Participants who recovered arm function (n = 5) showed signs of spasticity at all assessment points but did not develop contractures. Patients who did not recover useful arm function (n = 25) had signs of spasticity and changes associated with contracture formation at all time points tested.Conclusion: In this group of patients who had no arm function within the first 6 weeks of stroke, spasticity was seen early, but did not necessarily hinder functional recovery. Contractures were more likely to develop in patients who did not recover arm function. [ABSTRACT FROM PUBLISHER]
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  Data: <i>Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. 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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        Value: 10.1177/0269215510381620
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        Text: English
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      – SubjectFull: Computer software
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      – TitleFull: Spasticity and contractures at the wrist after stroke: time course of development and their association with functional recovery of the upper limb.
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              Text: Feb2011
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