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Published on: February 22, 2020
Predictive factors for spasticity among ischemic stroke patients.
Rita de Cássia Dos Reis Moura1, Márcia Maiumi Fukujima, Alexandre Santos Aguiar
1Department of Emergency Medicine and Evidence-Based Medicine, São Paulo Federal University, São Paulo, SP, Brazil. ritac.moura@uol.com.br
Arquivos De Neuro-Psiquiatria
|January 14, 2010
Summary
Spasticity, a common cause of functional loss after ischemic stroke, is predicted by factors including manual labor, previous stroke, and pain. Physiotherapy, especially long-term, also increases spasticity risk in stroke survivors.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Clinical Neuroscience
Background:
- Spasticity is a significant contributor to functional deficits following ischemic stroke.
- Understanding predictive factors for spasticity is crucial for effective patient management and rehabilitation.
Purpose of the Study:
- To identify demographic, clinical, and tomographic factors that predict the occurrence of spasticity after ischemic stroke.
Main Methods:
- Analysis of demographic, clinical, and tomographic data from 146 ischemic stroke patients.
- Statistical evaluation to determine significant predictive factors for spasticity.
Main Results:
- Spasticity was associated with manual work, lower income, pain complaints, previous vascular disease, and muscle weakness.
- Physiotherapy, particularly for extended durations, was linked to increased spasticity.
- Extensive brain lesions, including those affecting multiple lobes, were significant predictors.
- Pain onset concurrent with spasticity showed a strong association.
Conclusions:
- Spasticity affects approximately 25% of ischemic stroke patients.
- Predictive factors include manual labor, prior stroke history, lesion extent, reduced income, physiotherapy exposure, and pain.
- Muscle strength changes and the timing of pain onset are also key indicators.
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