background: this study evaluated the efficacy of focal intramuscular injection of botulinum (bont) toxin type a in comparison with oral tizanidine (tzd) in treatment of post-stroke upper limb spasticity. methods: this was a double-blinded randomized clinical trial that recruited 68 patients with post-stroke upper limb spasticity. thirty-four patients received bont (dysport(®)) injections in aff...

Objectives: The main purpose of this research was to study and contribute to an accurate test of spastic limb. The intra, inter rater reliability of the test was examined. Methods: The present study was carried out in two parts In the first part of the study, the modified Ashworth Scale with Intermediate Scores (ASIS) was studied. During the second part of the study the intra, inter rater re...

Objectives: One of the most common and disabling complications that affects individuals with spinal cord injury is spasticity. The purpose of this study is to compare the effect of agonist and antagonist electrical stimulations on triceps surae muscle spasticity in patients with spinal cord injury. Methods: A total of 30 subjects with spinal cord injury were considered for the study. They were...

objectives: the main purpose of this research was to study and contribute to an accurate test of spastic limb. the intra, inter rater reliability of the test was examined. methods: the present study was carried out in two parts in the first part of the study, the modified ashworth scale with intermediate scores (asis) was studied. during the second part of the study the intra, inter rater relia...

ashworth and modified ashworth scales are the most widely used tests to assess the severity of muscle spasticity. these clinical scales offer qualitative and subjective information and consequently there are issues concerning reliability when two or more clinicians are involved in assessment of spasticity. this article presents the result of a study assessing inter-rater reliability of the orig...

OBJECTIVE To associate the short-term effects of the Handmaster orthosis on disabling symptoms of the affected upper extremity with long-term Handmaster orthosis use after stroke. DESIGN Historic cohort study. PATIENTS Patients with chronic stroke. METHODS The Modified Ashworth Scale (0-5) for wrist (primary outcome) and elbow flexor hypertonia, visual analogue scale (0-10) for pain, oede...

objectives: there are some controversies about the value of modified ashworth scale (mas) for assessing spasticity. the goal of this study was to investigate if there is any correlation between scores obtained from mas for wrist spasticity and electrophysiological recordings as the objective measure of spasticity. methods: in this cross-sectional study, 34 stroke patients were employed. wrist s...

OBJECT Randomized clinical trials have established that lumbar selective dorsal rhizotomy (SDR) reduces lower-extremity tone and improves functional outcome in children with spastic cerebral palsy. Significant data exist to support a secondary effect on upper-extremity function in patients with upper-extremity spasticity. The effects of SDR on upper-extremity tone, however, are not well charact...

This study of measures of spasticity, or altered motor control, compares the clinically used Ashworth scale with a method based on surface electromyographic (sEMG) recordings called brain motor control assessment (BMCA) in a group of 97 subjects with spinal cord injury (SCI) and varying levels of motor dysfunction. In this paper, we describe how sEMG-derived scores relate to the severity of spa...

OBJECTIVE To investigate the long-term efficacy of neuromuscular electrical stimulation in enhancing motor recovery in the upper extremities of stroke patients. METHODS A total of 46 patients with stroke were assigned to a neuromuscular electrical stimulation group or a control group. All patients received a standard rehabilitation programme. Patients in the neuromuscular electrical stimulati...