The influence of physiologic and atmospheric variables on spasticity after spinal cord injury

被引:3
|
作者
Zarkou, Anastasia [1 ]
Field-Fote, Edelle C. [1 ,2 ,3 ]
机构
[1] Shepherd Ctr, Crawford Res Inst, Spinal Cord Injury Res Lab, 2020 Peachtree Rd NW, Atlanta, GA 30309 USA
[2] Emory Univ, Sch Med, Div Phys Therapy, Atlanta, GA USA
[3] Georgia Inst Technol, Sch Biol Sci, Program Appl Physiol, Atlanta, GA 30332 USA
关键词
Paraplegia; spasms; stiffness; temperature; tetraplegia; walking; PENDULUM TEST; RECOVERY;
D O I
10.3233/NRE-201625
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: A number of physiological and atmospheric variables are believed to increase spasticity in persons with spinal cord injury (SCI) based on self-reported measures, however, there is limited objective evidence about the influence of these variables on spasticity. OBJECTIVE: We investigated the relationship between physiological/ atmospheric variables and level of spasticity in individuals with SCI. METHODS: In 53 participants with motor-incomplete SCI, we assessed the influence of age, time since injury, sex, injury severity, neurological level of injury, ability to walk, antispasmodic medication use, temperature, humidity, and barometric pressure on quadriceps spasticity. Spasticity was assessed using the pendulum test first swing excursion (FSE). To categorize participants based on spasticity severity, we performed cluster analysis. We used multivariate stepwise regression to determine variables associated with spasticity severity level. RESULTS: Three spasticity groups were identified based on spasticity severity level: low, moderate, and high. The regression analysis revealed that only walking ability and temperature were significantly related to spasticity severity. CONCLUSIONS: These outcomes validate the self-reported perception of people with SCI that low temperatures worsen spasticity. The findings refine prior evidence that people with motor-incomplete SCI have higher levels of spasticity, showing that those with sufficient motor function to walk have the highest levels of spasticity.
引用
收藏
页码:353 / 363
页数:11
相关论文
共 50 条
  • [1] Spasticity after spinal cord injury
    M M Adams
    A L Hicks
    Spinal Cord, 2005, 43 : 577 - 586
  • [2] Spasticity after spinal cord injury
    Adams, MM
    Hicks, AL
    SPINAL CORD, 2005, 43 (10) : 577 - 586
  • [3] Hindrance of spasticity after spinal cord injury
    R Abel
    R Rupp
    Spinal Cord, 2015, 53 : 711 - 711
  • [4] Spasticity Management After Spinal Cord Injury
    Alice J. Hon
    Perri Kraus
    Current Physical Medicine and Rehabilitation Reports, 2020, 8 : 159 - 171
  • [5] Prochlorperazine and spasticity after spinal cord injury
    Liabeuf S
    Stuhl-Gourmand L
    Gackière F
    中华物理医学与康复杂志, 2018, 40 (03) : 186 - 186
  • [6] Hindrance of spasticity after spinal cord injury
    Abel, R.
    Rupp, R.
    SPINAL CORD, 2015, 53 (09) : 711 - 711
  • [7] Spasticity Management After Spinal Cord Injury
    Hon, Alice J.
    Kraus, Perri
    CURRENT PHYSICAL MEDICINE AND REHABILITATION REPORTS, 2020, 8 (03) : 159 - 171
  • [8] Residual descending motor pathways influence spasticity after spinal cord injury
    Sangari, Sina
    Lundell, Henrik
    Kirshblum, Steven
    Perez, Monica A.
    ANNALS OF NEUROLOGY, 2019, 86 (01) : 28 - 41
  • [9] SPASTICITY AND BONE DENSITY AFTER A SPINAL CORD INJURY
    Lofvenmark, Inka
    Werhagen, Lars
    Norrbrink, Cecilia
    JOURNAL OF REHABILITATION MEDICINE, 2009, 41 (13) : 1080 - 1084
  • [10] Astrocytic contribution in spasticity after spinal cord injury
    Barbay, T.
    Pecchi, E.
    Bos, R.
    GLIA, 2023, 71 : E581 - E581