Objective: The aim of the study is to identify predictors of poststroke spasticity (modified Ashworth Scale scores, ≥1) at 3-6 mos after stroke.
Design: A 5-yr (2015-2020) retrospective cohort of patients who attended inpatient stroke rehabilitation in Southwestern Ontario, Canada, were included. Sociodemographic, clinical, stroke-related, rehabilitation-related, and outcome measure data were extracted from paper charts and electronic databases.
Results: Of the 922 individuals attending inpatient stroke rehabilitation, 606 (55.8% males; mean age = 70.9 ± 14.2 yrs) returned for an outpatient visit. Most patients had a first ever ( n = 518; 85.5%), ischemic ( n = 470; 77.6%) stroke with hemiplegia ( n = 449, 74.1%). A total of 20.3% ( n = 122) of patients had developed poststroke spasticity by 4 mos after stroke. A binary logistic regression significantly predicted poststroke spasticity (χ 2 (6) = 111.696, P < 0.0001) with good model fit (χ 2 (8) = 12.181, P = 0.143). There were six significant poststroke spasticity predictors: hemorrhagic stroke ( P = 0.049), younger age ( P < 0.001), family history of stroke ( P = 0.015), Functional Independence Measure admission score ( P < 0.001), use of selective serotonin reuptake inhibitors ( P = 0.044), and hemiplegia ( P < 0.001).
Conclusions: Patients should be monitored closely for poststroke spasticity after discharge from stroke rehabilitation and throughout the care continuum.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/PHM.0000000000002496 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Three-dimensional kinematic analysis can improve the efficacy of acupoint selection for post-stroke patients with upper limb spastic paresis: A randomized controlled trial.
J Integr Med
December 2024
Yueyang Clinical Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; Shanghai Research Institute of Acupuncture and Meridian, Shanghai 200030, China. Electronic address:
Background: China is seeing a growing demand for rehabilitation treatments for post-stroke upper limb spastic paresis (PSSP-UL). Although acupuncture is known to be effective for PSSP-UL, there is room to enhance its efficacy.
Objective: This study explored a semi-personalized acupuncture approach for PSSP-UL that used three-dimensional kinematic analysis (3DKA) results to select additional acupoints, and investigated the feasibility, efficacy and safety of this approach.
Non-Pharmacological Therapies for Post-Stroke Spastic Paralysis: A Bibliometric Analysis of Global Research from 2000 to 2024.
J Multidiscip Healthc
December 2024
Tianjin University of Traditional Chinese Medicine, Tianjin, 300000, People's Republic of China.
Objective: This study aims to explore the research landscape, hot topics, and future trends of non-pharmacological therapies for post-stroke spastic paralysis globally from 2000 to 2024 through a bibliometric analysis.
Methods: We conducted a search in the Web of Science Core Collection database to analyze literature related to non-pharmacological therapies for post-stroke spastic paralysis published between 2000 and 2024. Tools including CiteSpace, VOSviewer, Bibliometrix, Scimago, and R language were used to identify and analyze countries, institutions, journals, references, keywords, as well as the most commonly used therapies and acupuncture points.
Treatment Patterns and Healthcare Costs Among Patients with Stroke and Spasticity: A 2-Year Longitudinal Study.
Neurol Ther
December 2024
Ipsen, 1 Main Street, Suite 700, Cambridge, MA, 02142, USA.
Introduction: Post-stroke spasticity (PSS) occurs in ~25-43% of patients between 2 weeks and 3 months following a stroke. This retrospective claims study examined the occurrence of spasticity, treatment patterns, healthcare resource utilization, and healthcare costs among patients who experienced a stroke over a 2-year period.
Methods: Analyses were conducted using healthcare claims from the IQVIA PharMetrics Plus database of commercially/self-insured members from 2015 to 2021.
[Electroacupuncture pretreatment alleviates post-stroke spasticity in rats by inhibiting NF-κB/NLRP3 signaling pathway-mediated inflammation and neuronal apoptosis].
Nan Fang Yi Ke Da Xue Xue Bao
November 2024
Department of Rehabilitation Medicine, First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang 550001, China.
Objective: To explore the mechanism of electroacupuncture pretreatment (EP) for relieving post-stroke spasticity in rats.
Methods: Eighteen rats were randomized equally into sham-operated group, middle cerebral artery occlusion (MCAO) group, and MCAO+EP group. In MCAO+EP group, the rats received electroacupuncture at the acupoints Qubin and Baihui for 3 consecutive days prior to MCAO.
Focal Vibration Therapy for Motor Deficits and Spasticity Management in Post-Stroke Rehabilitation.
Brain Sci
October 2024
Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, 40127 Bologna, Italy.
Background: Focal mechanical vibration therapy has gained attention as a potential intervention to improve motor function while decreasing spasticity and pain in post-stroke patients. Despite promising results, there remains variability in study designs and outcomes, warranting a review of its clinical efficacy.
Methods: A review was conducted to evaluate randomized controlled trials (RCTs) investigating the effects of focal mechanical vibration therapy on post-stroke rehabilitation.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!