Comparison of Modified Ashworth Scale and Hoffmann Reflex in Study of Spasticity

Spasticity is one of the common complications in upper motor neuron lesions and without appropriate treatment it causes disturbances in movement pattern. Assessments of patients are effective in patient`s management. Modified Ashworth scale (MAS) is one of the criteria in qualitative assessment of s...

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Main Authors: Amir Hassan Kohan, Shahram Abootalebi, Alireza Khoshnevisan, Mehdi Rahgozar
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2010-06-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/3669
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author Amir Hassan Kohan
Shahram Abootalebi
Alireza Khoshnevisan
Mehdi Rahgozar
author_facet Amir Hassan Kohan
Shahram Abootalebi
Alireza Khoshnevisan
Mehdi Rahgozar
author_sort Amir Hassan Kohan
collection DOAJ
description Spasticity is one of the common complications in upper motor neuron lesions and without appropriate treatment it causes disturbances in movement pattern. Assessments of patients are effective in patient`s management. Modified Ashworth scale (MAS) is one of the criteria in qualitative assessment of spasticity, and there are lots of controversies about its validity. The purpose of this study is to compare MAS with electrophysiological indices of spasticity. The spasticity of upper limb muscles in patients with hemiplegic cerebral palsy are measured and recorded by MAS. Then electrophysiological indices of Hoffmann reflex (H reflex) and ratio of maximum range of action potential of combined movement of flexor carpi radialis (FCR) for upper limb and soleus for lower limb were estimated. Data of 11 patients with age range 4 to 6 were analyzed. There is no significant correlation between degree of spasticity and electrophysiological indices.
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spelling doaj.art-a92927802f0a40068326edd59b27eb392022-12-22T01:49:26ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942010-06-01483Comparison of Modified Ashworth Scale and Hoffmann Reflex in Study of SpasticityAmir Hassan Kohan0Shahram Abootalebi1Alireza Khoshnevisan2Mehdi Rahgozar3Department of Occupational Therapy, Brain And Spinal Cord Injury Repair Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation, Tehran, Iran.Department of Neurosurgery, Brain and Spinal Cord Injury Repair Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.Department of Statistics and Computer, University of Social Welfare and Rehabilitation, Tehran, Iran.Spasticity is one of the common complications in upper motor neuron lesions and without appropriate treatment it causes disturbances in movement pattern. Assessments of patients are effective in patient`s management. Modified Ashworth scale (MAS) is one of the criteria in qualitative assessment of spasticity, and there are lots of controversies about its validity. The purpose of this study is to compare MAS with electrophysiological indices of spasticity. The spasticity of upper limb muscles in patients with hemiplegic cerebral palsy are measured and recorded by MAS. Then electrophysiological indices of Hoffmann reflex (H reflex) and ratio of maximum range of action potential of combined movement of flexor carpi radialis (FCR) for upper limb and soleus for lower limb were estimated. Data of 11 patients with age range 4 to 6 were analyzed. There is no significant correlation between degree of spasticity and electrophysiological indices.https://acta.tums.ac.ir/index.php/acta/article/view/3669Cerebral palsymuscle spasticityreflexabnormalmotor neurons
spellingShingle Amir Hassan Kohan
Shahram Abootalebi
Alireza Khoshnevisan
Mehdi Rahgozar
Comparison of Modified Ashworth Scale and Hoffmann Reflex in Study of Spasticity
Acta Medica Iranica
Cerebral palsy
muscle spasticity
reflex
abnormal
motor neurons
title Comparison of Modified Ashworth Scale and Hoffmann Reflex in Study of Spasticity
title_full Comparison of Modified Ashworth Scale and Hoffmann Reflex in Study of Spasticity
title_fullStr Comparison of Modified Ashworth Scale and Hoffmann Reflex in Study of Spasticity
title_full_unstemmed Comparison of Modified Ashworth Scale and Hoffmann Reflex in Study of Spasticity
title_short Comparison of Modified Ashworth Scale and Hoffmann Reflex in Study of Spasticity
title_sort comparison of modified ashworth scale and hoffmann reflex in study of spasticity
topic Cerebral palsy
muscle spasticity
reflex
abnormal
motor neurons
url https://acta.tums.ac.ir/index.php/acta/article/view/3669
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AT shahramabootalebi comparisonofmodifiedashworthscaleandhoffmannreflexinstudyofspasticity
AT alirezakhoshnevisan comparisonofmodifiedashworthscaleandhoffmannreflexinstudyofspasticity
AT mehdirahgozar comparisonofmodifiedashworthscaleandhoffmannreflexinstudyofspasticity