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Validity and Reliability Study of the Muscle Excitability Scale in Spinal Cord Injury Patients

Completed
Conditions
Spinal Cord Injuries
Spasticity, Muscle
Registration Number
NCT04266964
Lead Sponsor
University Hospital, Motol
Brief Summary

The aim of the study is to verify validity and reliability of the Muscle excitability scale (MES), which has been developed to access muscle susceptibility to spasms and/or clones as part of spastic motor behavior in spinal cord injured patients.

Detailed Description

The muscle excitability scale (MES) is intended for patients after spinal cord injury. The objective is to evaluate a motor response (muscle spasms or clones) to a sensory or motor stimulus. A sensory stimulus is created by thumb and pointfinger compression of cutaneous tissue on the inside part of the middle thigh and calf. A motor stimulus is created by passive movement of the lower limb to flexion and extension. The MES grades from 0 to 4 reflect the muscle spastic or clonic tendency and the extent of this motor response (from isolated to generalized). Two investigators will examine a spastic motor behavior in 50 chronic SCI subjects using MES, Modificated Ashworth Scale (MAS) and Penn Spasms Frequency Scale (PSFS) to verify the validity and reliability of the MES.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Spasticity in Spinal Cord Injury
Exclusion Criteria
  • Parallel brain injury
  • Cognitive deficit affecting cooperation
  • Acute infection or other sudden complication
  • Recent change of antispastic medication

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Muscle Excitability Scalethrough study completion, an average of 1 year

Scoring from 0 to 4; 0 = no motor response (muscle spasm or clonus) to a tactile stimulus or passive movement; 4 = generalized motor response to both a tactile stimulus and passive movement

Penn Spasm Frequency Scalethrough study completion, an average of 1 year

Scoring 0 to 4; 0 = no spasms; 4 = spasms occurring more than 10 times per hour

Modified Ashworth Scalethrough study completion, an average of 1 year

Scoring from 0 to 4; 0 = no increase in muscle tone; 4 = affected part(s) rigid in flexion or extension

Secondary Outcome Measures
NameTimeMethod
Calculation of validity and reliability index of Muscle Excitability Scalethrough study completion, an average of 1 year

To determine validity, inter-rater and intra-rater reliability of the Muscle Excitability Scale

Trial Locations

Locations (2)

Paraple Center - rehab center for SCI people

🇨🇿

Prague, Czechia

Department of Rehabilitation and Sports Medicine, University Hospital Motol

🇨🇿

Prague, Czechia

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