The spasticity in the motor and functional disability in adults with post-stroke hemiparetic

Authors

  • Roberta de Oliveira Cacho Universidade Federal do Rio Grande do Norte (UFRN)
  • Enio Walker Azevedo Cacho Universidade Federal do Rio Grande do Norte (UFRN)
  • Anderson Barbosa Loureiro Universidade Estadual de Campinas (Unicamp)
  • Gabriele Natane de Medeiros Cirne Universidade Federal do Rio Grande do Norte (UFRN)
  • Silvana Alves Pereira Universidade Federal do Rio Grande do Norte (UFRN)
  • Rodrigo Pegado de Abreu Freitas Universidade Federal do Rio Grande do Norte (UFRN)
  • Núbia Maria Freire Vieira Lima Universidade Federal do Rio Grande do Norte (UFRN)
  • Guilherme Borges Universidade Estadual de Campinas (Unicamp)

DOI:

https://doi.org/10.1590/1980-5918.030.004.AO09

Abstract

Introduction: Spasticity acts as a limiting factor in motor and functional recovery after Stroke, impairing the performance of daily living activities. Objective: To analyze the influence of spasticity on main muscle groups and to associate it with motor impairment and functional level of chronic hemiparetic patients after stroke. Methods: Twenty-seven chronic hemiparetic patients of both sexes were selected at the Physical Therapy and Occupational Therapy Service of the Unicamp Clinics Hospital. Assessments were carried out in two sessions, in the first one the motor impairment (Fugl-Meyer Assessment - FM) and functional impairment (Barthel Index - BI) were evaluated, and in the second, the degree of spasticity of the main muscle groups (Modified Ashworth Scale - MAS). Results: A negative correlation was detected between upper limb spasticity and motor and functional impairment. No muscle group evaluated in the lower limbs showed correlation between muscle tone and the level of impairment of the lower extremity on FM and the functional level measured by BI. Conclusion: Spasticity has been shown to be a negative influence factor in the level of motor and functional impairment of the upper limbs of chronic hemiparetic patients after stroke.

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Published

2017-11-24

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Original Article

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