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Functional assessment of lower extremities in hereditary spastic paraplegia.
- Source :
-
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2009 Nov; Vol. 90 (11), pp. 1887-90. - Publication Year :
- 2009
-
Abstract
- Objectives: To characterize the spasticity and range of motion (ROM) in patients with hereditary spastic paraplegia (HSP) and to correlate these parameters with walking speed.<br />Design: An observational population-based cohort study.<br />Setting: Patient data were acquired from a population-based epidemiologic study performed earlier in Estonia.<br />Participants: Persons (N=46) (mean age, 50.1y) with clinically confirmed HSP diagnosis (mean duration, 20.9y) participated in the study.<br />Interventions: Active and passive ROMs were measured with a plastic 360 degrees goniometer. Spasticity was evaluated by using the modified Ashworth scale (MAS). The time it took a patient to walk 10m was recorded.<br />Main Outcome Measures: Measurements included testing of active and passive ROM as a marker for mobility, the MAS for spasticity, and time to complete a 10-m walk.<br />Results: A higher degree of spasticity in hip muscles was associated with lower values of active ROM and slower walking. Walking speed was negatively correlated to disease duration and participant age.<br />Conclusions: The present study provides analysis of the contributions of spasticity and ROM to walking speed in HSP, both factors negatively influence gait in persons with HSP.
Details
- Language :
- English
- ISSN :
- 1532-821X
- Volume :
- 90
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Archives of physical medicine and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 19887213
- Full Text :
- https://doi.org/10.1016/j.apmr.2009.06.016