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Classification of upper limb spasticity patterns in patients with multiple sclerosis: a pilot observational study.
Filippetti, Mirko; Lugoboni, Linde; Di Censo, Rita; Degli Esposti, Luca; Facciorusso, Salvatore; Varalta, Valentina; Santamato, Andrea; Calabrese, Massimiliano; Smania, Nicola; Picelli, Alessandro.
Afiliación
  • Filippetti M; Neuromotor and Cognitive Rehabilitation Research Center, Section of Physical and Rehabilitation Medicine, Department of Neuroscience, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy; Canadian Advances in Neuro-Orthopedics for Spasticity Consortium (CANOSC), Kingston, ON, Cana
  • Lugoboni L; Neuromotor and Cognitive Rehabilitation Research Center, Section of Physical and Rehabilitation Medicine, Department of Neuroscience, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy.
  • Di Censo R; Neuromotor and Cognitive Rehabilitation Research Center, Section of Physical and Rehabilitation Medicine, Department of Neuroscience, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy; Neurorehabilitation Unit, Department of Neurosciences, University Hospital of Verona, Italy.
  • Degli Esposti L; Neuromotor and Cognitive Rehabilitation Research Center, Section of Physical and Rehabilitation Medicine, Department of Neuroscience, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy.
  • Facciorusso S; Spasticity and Movement Disorders "ReSTaRt" Unit, Physical Medicine and Rehabilitation Section, Riuniti Hospital, University of Foggia, Foggia, Italy.
  • Varalta V; Neuromotor and Cognitive Rehabilitation Research Center, Section of Physical and Rehabilitation Medicine, Department of Neuroscience, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy; Neurorehabilitation Unit, Department of Neurosciences, University Hospital of Verona, Italy.
  • Santamato A; Spasticity and Movement Disorders "ReSTaRt" Unit, Physical Medicine and Rehabilitation Section, Riuniti Hospital, University of Foggia, Foggia, Italy.
  • Calabrese M; Neurology Section, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
  • Smania N; Neuromotor and Cognitive Rehabilitation Research Center, Section of Physical and Rehabilitation Medicine, Department of Neuroscience, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy; Neurorehabilitation Unit, Department of Neurosciences, University Hospital of Verona, Italy.
  • Picelli A; Neuromotor and Cognitive Rehabilitation Research Center, Section of Physical and Rehabilitation Medicine, Department of Neuroscience, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy; Canadian Advances in Neuro-Orthopedics for Spasticity Consortium (CANOSC), Kingston, ON, Cana
J Rehabil Med ; 56: jrm40548, 2024 Aug 25.
Article en En | MEDLINE | ID: mdl-39185546
ABSTRACT

OBJECTIVE:

The aim of this study was to provide a classification of the upper limb patterns in patients with upper limb spasticity due to multiple sclerosis.

DESIGN:

Pilot observational study. PATIENTS Twenty-five adult patients with multiple sclerosis suffering from upper limb spasticity who underwent one segmental (i.e., proximal and distal upper limb) botulinum toxin treatment cycle were recruited.

METHODS:

Patients remained in a sitting position during the evaluation. Upper limb spasticity postures (i.e., postural attitude of a single joint/anatomical region) were evaluated and recorded for the shoulder (adducted/internally rotated), elbow (flexed/extended), forearm (pronated/supinated/neutral), wrist (flexed/extended/neutral) and hand (fingers flexed/thumb in palm).

RESULTS:

On the basis of the clinical observations, 6 patterns (i.e., sets of limb postures) of upper limb spasticity have been described according to the postures of the shoulder, elbow, forearm, and wrist.

CONCLUSION:

The patterns of upper limb spasticity in patients with multiple sclerosis described by this pilot study do not completely overlap with those observed in patients with post-stroke spasticity. This further supports the need to consider the features of spasticity related to its aetiology in order to manage patients appropriately.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Extremidad Superior / Esclerosis Múltiple / Espasticidad Muscular Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Rehabil Med Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article Pais de publicación: Suecia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Extremidad Superior / Esclerosis Múltiple / Espasticidad Muscular Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Rehabil Med Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article Pais de publicación: Suecia