AI Article Synopsis
- This study aimed to classify the upper limb posture patterns in patients with upper limb spasticity due to multiple sclerosis (MS).
- It involved 25 adult MS patients who received botulinum toxin treatment and had their spasticity evaluated across different upper limb joints and positions.
- The research identified six distinct patterns of upper limb spasticity specific to MS, which differ from patterns seen in post-stroke spasticity, highlighting the importance of tailoring treatment based on the cause of spasticity.
Article 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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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367677 | PMC |
| http://dx.doi.org/10.2340/jrm.v56.40548 | DOI Listing |
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