Muscle Excitability Scale for Assessment of Spastic Reflexes in Spinal Cord Injury. Part II: Validity and Reliability Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Spasticity, Muscle
- Sponsor
- University Hospital, Motol
- Enrollment
- 50
- Locations
- 2
- Primary Endpoint
- Muscle Excitability Scale
- Status
- Completed
- Last Updated
- 3 years ago
Overview
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.
Investigators
Assoc. Prof. Jiri Kriz, MD, PhD
Clinical Professor
University Hospital, Motol
Eligibility Criteria
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
Outcomes
Primary Outcomes
Muscle Excitability Scale
Time Frame: through 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 Scale
Time Frame: through 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 Scale
Time Frame: through 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 Outcomes
- Calculation of validity and reliability index of Muscle Excitability Scale(through study completion, an average of 1 year)