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Assessment of spasticity using isokinetic dynamometry in patients with spinal cord injury
Objectives: To determine the value of isokinetic dynamometric measurement of passive resistance in quantifying spasticity. Setting: Turkey. Methods: Thirty-three spastic spinal cord-injured patients and 14 age-matched normal individuals were studied. Five consecutive flexion-extensions of the kne...
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| Published in: | Spinal cord 1999-09, Vol.37 (9), p.638-643 |
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| Main Authors: | , , , , , |
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| Language: | English |
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| container_end_page | 643 |
| container_issue | 9 |
| container_start_page | 638 |
| container_title | Spinal cord |
| container_volume | 37 |
| creator | Akman, MN Bengi, R Karatas, M Kılınç, S Sözay, S Özker, R |
| description | Objectives:
To determine the value of isokinetic dynamometric measurement of passive resistance in quantifying spasticity.
Setting:
Turkey.
Methods:
Thirty-three spastic spinal cord-injured patients and 14 age-matched normal individuals were studied. Five consecutive flexion-extensions of the knee, abduction-adductions of the hip, and dorsal-plantar flexions of the ankle were performed at specific velocities (15, 30, 60, 90 and 120°/s) using a computerized isokinetic dynamometer set at the continuous passive motion mode. We recorded maximum torque and the sum of torque amplitudes for five repetitions of each type of joint motion at all velocities.
Results:
Maximum torque values and the sum of torque amplitudes were both significantly higher in spastic patients than in controls, and there was a positive correlation between torque values and Ashworth scores. There was no significant linear increase in torque values associated with increasing velocity for any of the motions in either controls or patients.
Conclusion:
Isokinetic dynamometric measurement of passive resistance appeared to be a valuable tool for assessing and quantifying spasticity, as well as other types of hypertonus. |
| doi_str_mv | 10.1038/sj.sc.3100892 |
| format | article |
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To determine the value of isokinetic dynamometric measurement of passive resistance in quantifying spasticity.
Setting:
Turkey.
Methods:
Thirty-three spastic spinal cord-injured patients and 14 age-matched normal individuals were studied. Five consecutive flexion-extensions of the knee, abduction-adductions of the hip, and dorsal-plantar flexions of the ankle were performed at specific velocities (15, 30, 60, 90 and 120°/s) using a computerized isokinetic dynamometer set at the continuous passive motion mode. We recorded maximum torque and the sum of torque amplitudes for five repetitions of each type of joint motion at all velocities.
Results:
Maximum torque values and the sum of torque amplitudes were both significantly higher in spastic patients than in controls, and there was a positive correlation between torque values and Ashworth scores. There was no significant linear increase in torque values associated with increasing velocity for any of the motions in either controls or patients.
Conclusion:
Isokinetic dynamometric measurement of passive resistance appeared to be a valuable tool for assessing and quantifying spasticity, as well as other types of hypertonus.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sj.sc.3100892</identifier><identifier>PMID: 10490855</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Anatomy ; Ankle - physiopathology ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Female ; Hip - physiopathology ; Human Physiology ; Humans ; Knee - physiopathology ; Male ; Manometry ; Medical sciences ; Movement - physiology ; Muscle Contraction - physiology ; Muscle Spasticity - etiology ; Muscle Spasticity - physiopathology ; Muscle, Skeletal - physiopathology ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; original-article ; Spinal Cord Injuries - complications ; Torque</subject><ispartof>Spinal cord, 1999-09, Vol.37 (9), p.638-643</ispartof><rights>International Spinal Cord Society 1999</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-ded98a1abbc37616900810d06363b881d48c42924d8e3d3f956bbe221deeabdb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1342437$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10490855$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akman, MN</creatorcontrib><creatorcontrib>Bengi, R</creatorcontrib><creatorcontrib>Karatas, M</creatorcontrib><creatorcontrib>Kılınç, S</creatorcontrib><creatorcontrib>Sözay, S</creatorcontrib><creatorcontrib>Özker, R</creatorcontrib><title>Assessment of spasticity using isokinetic dynamometry in patients with spinal cord injury</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Objectives:
To determine the value of isokinetic dynamometric measurement of passive resistance in quantifying spasticity.
Setting:
Turkey.
Methods:
Thirty-three spastic spinal cord-injured patients and 14 age-matched normal individuals were studied. Five consecutive flexion-extensions of the knee, abduction-adductions of the hip, and dorsal-plantar flexions of the ankle were performed at specific velocities (15, 30, 60, 90 and 120°/s) using a computerized isokinetic dynamometer set at the continuous passive motion mode. We recorded maximum torque and the sum of torque amplitudes for five repetitions of each type of joint motion at all velocities.
Results:
Maximum torque values and the sum of torque amplitudes were both significantly higher in spastic patients than in controls, and there was a positive correlation between torque values and Ashworth scores. There was no significant linear increase in torque values associated with increasing velocity for any of the motions in either controls or patients.
Conclusion:
Isokinetic dynamometric measurement of passive resistance appeared to be a valuable tool for assessing and quantifying spasticity, as well as other types of hypertonus.</description><subject>Adult</subject><subject>Anatomy</subject><subject>Ankle - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Female</subject><subject>Hip - physiopathology</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Knee - physiopathology</subject><subject>Male</subject><subject>Manometry</subject><subject>Medical sciences</subject><subject>Movement - physiology</subject><subject>Muscle Contraction - physiology</subject><subject>Muscle Spasticity - etiology</subject><subject>Muscle Spasticity - physiopathology</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Spinal Cord Injuries - complications</subject><subject>Torque</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNp10E1PxCAQBmBiNH6sHr0aDsZbVygsC0dj_Eo28aIHT4QCXaktXZk2pv9ezG6iF08Q5pmZ8CJ0TsmcEiavoZmDnTNKiFTlHjqmfCmKhSj5fr4zURacKXaETgAaQoiiSh6iI0q4InKxOEZvNwAeoPNxwH2NYWNgCDYMEx4hxDUO0H-E6PMbdlM0Xd_5IU04RLwxQ8hdgL_C8J4bQzQttn1yudiMaTpFB7VpwZ_tzhl6vb97uX0sVs8PT7c3q8IyJYbCeaekoaaqLFsKKlT-CCWOCCZYJSV1XFpeqpI76ZljtVqIqvJlSZ33pnIVm6Gr7dxN6j9HD4PuAljftib6fgS9JIQLqViGxRba1AMkX-tNCp1Jk6ZE_2SpodFg9S7L7C92g8eq8-6P3oaXweUOGLCmrZOJNsCvY7zkbJnZfMsgV-LaJ930Y8ppwT-LvwHcFo4n</recordid><startdate>19990901</startdate><enddate>19990901</enddate><creator>Akman, MN</creator><creator>Bengi, R</creator><creator>Karatas, M</creator><creator>Kılınç, S</creator><creator>Sözay, S</creator><creator>Özker, R</creator><general>Nature Publishing Group UK</general><general>Nature Publishing</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990901</creationdate><title>Assessment of spasticity using isokinetic dynamometry in patients with spinal cord injury</title><author>Akman, MN ; Bengi, R ; Karatas, M ; Kılınç, S ; Sözay, S ; Özker, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-ded98a1abbc37616900810d06363b881d48c42924d8e3d3f956bbe221deeabdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Anatomy</topic><topic>Ankle - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Female</topic><topic>Hip - physiopathology</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Knee - physiopathology</topic><topic>Male</topic><topic>Manometry</topic><topic>Medical sciences</topic><topic>Movement - physiology</topic><topic>Muscle Contraction - physiology</topic><topic>Muscle Spasticity - etiology</topic><topic>Muscle Spasticity - physiopathology</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurochemistry</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Spinal Cord Injuries - complications</topic><topic>Torque</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akman, MN</creatorcontrib><creatorcontrib>Bengi, R</creatorcontrib><creatorcontrib>Karatas, M</creatorcontrib><creatorcontrib>Kılınç, S</creatorcontrib><creatorcontrib>Sözay, S</creatorcontrib><creatorcontrib>Özker, R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akman, MN</au><au>Bengi, R</au><au>Karatas, M</au><au>Kılınç, S</au><au>Sözay, S</au><au>Özker, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of spasticity using isokinetic dynamometry in patients with spinal cord injury</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>1999-09-01</date><risdate>1999</risdate><volume>37</volume><issue>9</issue><spage>638</spage><epage>643</epage><pages>638-643</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><abstract>Objectives:
To determine the value of isokinetic dynamometric measurement of passive resistance in quantifying spasticity.
Setting:
Turkey.
Methods:
Thirty-three spastic spinal cord-injured patients and 14 age-matched normal individuals were studied. Five consecutive flexion-extensions of the knee, abduction-adductions of the hip, and dorsal-plantar flexions of the ankle were performed at specific velocities (15, 30, 60, 90 and 120°/s) using a computerized isokinetic dynamometer set at the continuous passive motion mode. We recorded maximum torque and the sum of torque amplitudes for five repetitions of each type of joint motion at all velocities.
Results:
Maximum torque values and the sum of torque amplitudes were both significantly higher in spastic patients than in controls, and there was a positive correlation between torque values and Ashworth scores. There was no significant linear increase in torque values associated with increasing velocity for any of the motions in either controls or patients.
Conclusion:
Isokinetic dynamometric measurement of passive resistance appeared to be a valuable tool for assessing and quantifying spasticity, as well as other types of hypertonus.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>10490855</pmid><doi>10.1038/sj.sc.3100892</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1362-4393 |
| ispartof | Spinal cord, 1999-09, Vol.37 (9), p.638-643 |
| issn | 1362-4393 1476-5624 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70046893 |
| source | SPORTDiscus |
| subjects | Adult Anatomy Ankle - physiopathology Biological and medical sciences Biomedical and Life Sciences Biomedicine Female Hip - physiopathology Human Physiology Humans Knee - physiopathology Male Manometry Medical sciences Movement - physiology Muscle Contraction - physiology Muscle Spasticity - etiology Muscle Spasticity - physiopathology Muscle, Skeletal - physiopathology Nervous system (semeiology, syndromes) Nervous system as a whole Neurochemistry Neurology Neuropsychology Neurosciences original-article Spinal Cord Injuries - complications Torque |
| title | Assessment of spasticity using isokinetic dynamometry in patients with spinal cord injury |
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