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A method of hand motor control assessment in patients with post-stroke spasticity Cover

A method of hand motor control assessment in patients with post-stroke spasticity

Open Access
|Jan 2018

Figures & Tables

Fig. 1.

Stand for hand examination

Fig. 2.

Changes in hand function evaluated with Fugl-Meyer Assessment

Fig. 3.

Changes in palm area of the examined patients

Fig. 4.

Changes in the value of p max/p min

Age and time from stroke onset in the examined group

Analizowane zmienne / Analysed variablesŚrednia / MeanMediana / MedianMinimum / MinimumMaksimum / MaximumOdch. Std. / Standard Deviation
Wiek [lat] / Age [years]65,364,5298414
Czas od udaru [m-c] / Time from stroke onset [months]5559,5128122

The level of hand spasticity according to Ashworth Scale and adopted scoring

Liczba porządkowa badanych / Patient numberI badanie / 1st examinationII badanie / 2nd examination
Skala Ashworth / Ashworth ScalePrzyjęta punktacja / Adopted scoringSkala Ashworth / Ashworth ScalePrzyjęta punktacja / Adopted scoring
13546
21212
33524
41+31+3
51+31+3
6241+3
71+31+3
82424
9241+3
102424
111212
12241+3

Ashworth Scale distribution of results in the first and second examination

Poziom spastyczności / Level of spasticitySkala Ashworth / Ashworth Scale
Badanie 1 / 1st examinationBadanie 2 / 2nd examination
N%N%
100%00%
2217%217%
3325%650%
4542%325%
5217%00%
600%18%
3,583,33

Values of descriptive statistics for the measurement of paretic palm area

Powierzchnia ręki niedowładnej [mm] / Palm area of a paretic limb [mm]N Mesminmax
Badanie 1 / 1st examination1112 02311 9321 9608 47015 046
Badanie 2 / 2nd examination1111 75711 9311 7378 54113 806
Badanie 1 vs. Badanie 2/1st examination vs. 2nd examination (p = 0,7221)11-26614834-21381 110
p – wartość prawdopodobieństwa testowego obliczona za pomocą testu Wilcoxona / probability value calculated with Wilcoxon test

Changes in the values of p max/p min against Fugl-Meyer Assessment and Ashworth Scale

Liczba porządkowa badanych/Patient numberZmiana stanu ręki pomiędzy badaniem 1 a 2 / Changes in hand function between the 1st and 2nd examination
Skala Ashworth / Ashworth ScaleSkala Fugl-Meyer / Fugl-Meyer AssessmentWskaźnik / Value p max/p min
1(3/4) nasilenie spastyczności / increased spasticity0/1 poprawa / improvement19,69/2,36 pogorszenie / deterioration
2(1/1) brak zmian / no changes14/14 brak zmian / no changes19,45/72,43 poprawa / improvement
3(3/2) obniżenie spastyczności / decreased spasticity3/3 brak zmian / no changes1,5/1,39 pogorszenie / deterioration
4(1+/1+) brak zmian / no changes4/4 brak zmian / no changes20,7/23,14 poprawa / improvement
5(1+/1+) brak zmian / no changes5/6 poprawa / improvement8,65/11,38 poprawa / improvement
6(2/1+) obniżenie spastyczności / decreased spasticity4/8 poprawa / improvement8,48/36,46 poprawa / improvement
7(1+/1+) brak zmian / no changes7/10 poprawa / improvement17,38/3,36 pogorszenie / deterioration
8(2/2) brak zmian / no changes12/10 pogorszenie / deterioration20,25/38,6 poprawa / improvement
9(2/1+) obniżenie spastyczności / decreased spasticity8/9 poprawa / improvement4,04/5,44 poprawa / improvement
10(2/2) brak zmian / no changes6/8 poprawa / improvement17,4/18,37 poprawa / improvement
11(1/1) brak zmian / no changes12/12 brak zmian / no changes24,13/15,71 pogorszenie / deterioration
12(2/1+) obniżenie spastyczności / decreased spasticity7/10 poprawa / improvement3,84/6,42 poprawa / improvement

Values of descriptive statistics for p max / p min

p max/p minN Mesminmax
Badanie 1 / 1st examination1213,817,47,91,524,1
Badanie 2 / 2nd examination1219,613,520,91,472,4
Badanie 1 vs. Badanie 2/1st examination vs. 2nd examination (p = 0,2721)125,81,919,3-17,353,0
p -probability value calculated with Wilcoxon test

The values of descriptive statistics for the results of Fugl-Meyer Assessment (FMA)

Skala funkcjonalna / Functional scaleN Mesminmax
Badanie 1 / 1st examination126,86,54,1014
Badanie 2 / 2nd examination127,98,53,8114
Badanie 1 vs. Badanie 2 /1st examination vs. 2nd examination (p = 0,0587)121,11,01,7-24
p – wartość prawdopodobieństwa testowego obliczona za pomocą testu Wilcoxona / probability value calculated with Wilcoxon test

Characteristics of the participants

Zmienna / VariableLiczność / No. of patientsProcent / Percent
Płeć / Sex
  Kobieta / Female650
  Mężczyzna / Male650
Strona porażona / Paretic side
  Prawa / Right650
  Lewa / Left650
Lateralizacja / Lateralisation
  Prawostronna / Right-sided12100
  Lewostronna / Left-sided00
Wdrożona terapia / Implemented therapy
  Fizykoterapia / Physiotherapy542
  Masaż / Massage758
  Kinezyterapia indywidualna / Individual kinesiotherapy1083
  Kinezyterapia zespołowa / Group kinesiotherapy867
Odruchy ścięgniste / Tendon reflexes
  Prawidłowe / Proper758
  Wzmożone / Increased325
  Zniesione / Absent217
Klonusy / Clonuses
  Obecne / Present18
  Nieobecne / Absent1192
Skala Brunnstrom (bad. 1) / Brunnström Approach (1st examination)
  2867
  3433
Skala Ashwortha (bad. 1) / Ashworth Scale (1st examination)
  1217
  +1325
  2541
  3217
Language: English
Page range: 55 - 70
Published on: Jan 30, 2018
In partnership with: Paradigm Publishing Services

© 2018 Jolanta Zwolińska, Mariusz Drużbicki, Lidia Perenc, Andrzej Kwolek, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License.