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Ghasemi, Ehsan, Khademi-Kalantari, Khosro, Bokaee, Fateme, Akbarzadeh Baghban, Alireza, Ghasemi, Majid. (1401). The Relationship between Neural Properties, Mechanical Properties,Functional Outcomes, and Clinical Parameters in Spastic Chronic Stroke Patients: An Observational Study. سامانه مدیریت نشریات علمی, 9(4), 156-161. doi: 10.30476/jrsr.2022.91709.1184
Ehsan Ghasemi; Khosro Khademi-Kalantari; Fateme Bokaee; Alireza Akbarzadeh Baghban; Majid Ghasemi. "The Relationship between Neural Properties, Mechanical Properties,Functional Outcomes, and Clinical Parameters in Spastic Chronic Stroke Patients: An Observational Study". سامانه مدیریت نشریات علمی, 9, 4, 1401, 156-161. doi: 10.30476/jrsr.2022.91709.1184
Ghasemi, Ehsan, Khademi-Kalantari, Khosro, Bokaee, Fateme, Akbarzadeh Baghban, Alireza, Ghasemi, Majid. (1401). 'The Relationship between Neural Properties, Mechanical Properties,Functional Outcomes, and Clinical Parameters in Spastic Chronic Stroke Patients: An Observational Study', سامانه مدیریت نشریات علمی, 9(4), pp. 156-161. doi: 10.30476/jrsr.2022.91709.1184
Ghasemi, Ehsan, Khademi-Kalantari, Khosro, Bokaee, Fateme, Akbarzadeh Baghban, Alireza, Ghasemi, Majid. The Relationship between Neural Properties, Mechanical Properties,Functional Outcomes, and Clinical Parameters in Spastic Chronic Stroke Patients: An Observational Study. سامانه مدیریت نشریات علمی, 1401; 9(4): 156-161. doi: 10.30476/jrsr.2022.91709.1184

The Relationship between Neural Properties, Mechanical Properties,Functional Outcomes, and Clinical Parameters in Spastic Chronic Stroke Patients: An Observational Study

Journal of Rehabilitation Sciences & Research
مقاله 3، دوره 9، شماره 4، اسفند 2022، صفحه 156-161    اصل مقاله (923.68 K)
نوع مقاله: Original Articles
شناسه دیجیتال (DOI): 10.30476/jrsr.2022.91709.1184
نویسندگان
Ehsan Ghasemi* 1؛ Khosro Khademi-Kalantari2؛ Fateme Bokaee3؛ Alireza Akbarzadeh Baghban4؛ Majid Ghasemi5
1Musculoskeletal Research Center, Department of Physiotherapy, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran.
2Department of Physiotherapy, Faculty of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Musculoskeletal Research Center, Department of Physiotherapy, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran. university of medical sciences
4Department of Basic Sciences, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5Department of Neurology& Isfahan Neurosciences Research Center, Faculty of Medical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده
Background:
Subsequent to spasticity, which is a positive impairment of stroke,neural and mechanical changes often occur in paretic muscles, affecting muscle function. The aim of this study was to find more accurate indices, which could affect decisions about spasticity treatment by investigating the relationships among neural, mechanical, functional outcomes, and clinical parameters in spastic chronic stroke patients.
Methods:
This cross-sectional study investigated 45 spastic chronic stroke patients. Clinical assessments were conducted using the Modified Modified Ashworth Scale (MMAS). Neural properties including H-reflex latency and Hmax/Mmax ratio were acquired. Mechanical properties including fascicle length,pennation angle, and thickness of spastic medial gastrocnemius muscle were evaluated. Functional outcomes were evaluated by the Timed Up and Go (TUG) test and Timed 10-Meter Walk Test (10-m WTT). Spearman’s rank correlation analysis in SPSS version 22.0 was used to find correlations between parameters.
Results:
A low negative correlation was determined between MMAS and H-reflex latency (r=-0.320, P=0.032). MMAS score had a low significant relationship with pennation angle (r=0.296, P=0.049) and thickness of muscles (r=0.389,P=0.008). However, no significant correlation was found between MMAS and functional outcomes.
Conclusion:
Based on these findings, it is clear MMAS can partly identify changes in neural and mechanical properties of spastic muscles.
کلیدواژه‌ها
Neural and mechanical properties؛ Functional outcomes؛ Spastic Medial Gastrocnemius Muscle and Chronic Stroke
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