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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(4):828-834.
The Assessment of Spasticity Using Isokinetic Eccentric Torque Measurement.
Lee, Seong Jae , Kwon, Bum Sun , Park, Seung Tae
Department of Rehabilitation Medicine, College of Medicine, Dankook University.
등속성 편심성 우력 측정을 이용한 경직의 정량적 평가
이성재, 권범선, 박승태
단국대학교 의과대학 재활의학교실
Abstract

Objective
To observe changes in reflex threshold and gain in spastic muscles and to find useful parameters in biomechanical assessment of spasticity.


Method
Ankle plantar flexor muscles of twenty two hemiplegic patients were stretched by isokinetic dynamometer. Stretching was done at the velocities of 10o/sec, 300o/sec, and at the threshold velocity (e.g. lowest velocity at which electromyographic evidence of stretch reflex was recorded). Peak eccentric torque, torque at joint angle of 20o, torque threshold angle, and stiffness index were measured.


Results
Peak eccentric torque and stiffness index were increased and torque threshold angle was decreased in hemiplegic side. Peak eccentric torque and stiffness index were increased at 300o/sec compared to 10o/sec. Stiffness index showed significant correlation with modified Ashworth scale at 300o/sec and threshold velocity.


Conclusion
Both reflex threshold and reflex gain were changed in spastic muscles. Stiffness index was thought to be one of useful parameters in biomechanical assessment of spasticity.

Key Words: Hemiplegia, Assessment, Spasticity, Stiffness index


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