改良 Tardieu 量表（MTS）在评估脑卒中后腕屈肌痉挛中的电生理学评估。
Electrophysiological evaluation of the Modified Tardieu Scale (MTS) in assessing poststroke wrist flexor spasticity.
机构信息
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
出版信息
NeuroRehabilitation. 2014;34(1):177-84. doi: 10.3233/NRE-131016.
BACKGROUND
Spasticity is a common impairment following upper motor neuron lesions such as stroke. The appropriate measurement of muscle spasticity using validated tools to evaluate the outcome of therapies is important in clinical and research settings.
OBJECTIVE
To determine the concurrent criterion-related validity of the Modified Tardieu Scale (MTS) in assessing poststroke wrist flexor muscle spasticity based on its correlation with H-reflex tests.
METHODS
A total of 20 adult patients poststroke underwent clinical and electrophysiological assessment of wrist flexor muscle spasticity on the affected side. The primary outcome measures were: R2-R1 of the MTS; and the H-reflex indices of Hmax/Mmax ratio and Hslp/Mslp ratio. The Hslp and the latency of H-reflex were also measured.
RESULTS
Correlations tests did not reveal significant associations between the clinical and H-reflex tests.
CONCLUSIONS
This study suggests that the MTS may not be a valid tool to evaluate muscle spasticity in this sample of patients after stroke.
背景
痉挛是一种常见的上运动神经元损伤后出现的障碍，如中风。使用经过验证的工具来评估治疗效果，对肌肉痉挛进行适当的测量，这在临床和研究环境中非常重要。
目的
基于 Modified Tardieu Scale（MTS）与 H 反射测试的相关性，确定其评估中风后腕屈肌痉挛的同时效标准相关效度。
方法
共有 20 名成年中风患者接受了患侧腕屈肌痉挛的临床和电生理评估。主要的测量指标包括：MTS 的 R2-R1；Hmax/Mmax 比值和 Hslp/Mslp 比值的 H 反射指数。还测量了 Hslp 和 H 反射潜伏期。
结果
相关性检验显示，临床和 H 反射测试之间没有显著关联。
结论
本研究表明，在中风后的这个患者样本中，MTS 可能不是评估肌肉痉挛的有效工具。
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