Department of Rehabilitation Medicine, CHA University College of Medicine, Seongnam, South Korea.
Top Stroke Rehabil. 2010 Sep-Oct;17(5):380-8. doi: 10.1310/tsr1705-380.
To determine the prevalence and factors predictive of spasticity in stroke patients transferred to a Department of Rehabilitation Medicine and to assess spasticity effects on motor recovery and functional outcomes.
A total of 245 patients consecutively admitted to the Department of Rehabilitation Medicine were evaluated. We examined spasticity prevalence and factors predictive of the condition. Spasticity was evaluated by the Modified Ashworth Scale (MAS).
We found that 42.4% of stroke patients showed spasticity signs. Multivariate logistic regression analysis showed that National Institutes of Health Stroke Scale (NIHSS) scores, nonoperative treatment, and low Motricity Index scores were significantly predictive of spasticity after stroke. The total, motor, and cognitive FIMTM scores, and the FIMTM subscale scores assessed at admission, were similar in patients with and without spasticity. However, functional gains and eventual efficiency outcomes were greater for nonspastic patients.
The prevalence of spasticity in stroke patients transferred to our Department of Rehabilitation Medicine was 42.4%. NIHSS scores, nonoperative treatment, and low Motricity Index scores were significantly predictive of spasticity. A nonspastic group showed greater functional improvement during rehabilitation.
确定转至康复医学科的脑卒中患者痉挛的发生率和预测因素，并评估痉挛对运动功能恢复和功能结局的影响。
连续评估了 245 例转至康复医学科的脑卒中患者。我们检查了痉挛的发生率和预测因素。痉挛采用改良 Ashworth 量表（MAS）进行评估。
我们发现脑卒中患者中有 42.4%存在痉挛迹象。多变量逻辑回归分析表明，美国国立卫生研究院脑卒中量表（NIHSS）评分、非手术治疗和较低的运动性指数评分是脑卒中后痉挛的显著预测因素。痉挛患者与无痉挛患者在入院时的总、运动和认知 FIMTM 评分以及 FIMTM 亚量表评分相似。然而，无痉挛患者的功能改善和最终效率结果更大。
转至我们康复医学科的脑卒中患者痉挛的发生率为 42.4%。NIHSS 评分、非手术治疗和较低的运动性指数评分是痉挛的显著预测因素。非痉挛组在康复期间显示出更大的功能改善。
