POST STROKE SPASTIC PARESIS ACCO MPANIED WITH PLASTIC RIGIDITY: DEVELOPMENT FEATURES AND REHABILITATION PRINCIPLES
https://doi.org/10.25016/2541-7487-2013-0-2-66-72
Abstract
Spasticity after stroke is detected when assessing passive movements of the limbs as the high resistance of muscle in response to its rapid stretching. In a broad sense, spasticity is defined as any increase in muscle tone caused by brain damage. In this regard, some authors refer to it the rigidity as well. Rigidity is the involuntary muscle activity increase that occurs in response to its passive stretching and detectable throughout the muscle. However, the predominant type of increased muscle tone in the post stroke paresis is spasticity, although in some muscles rigidity may occur; this is a mixed type of muscle hypertonicity. Patients (434 persons) undergoing neurorehabilitation after a stroke with spastic movement disorders were under study. A significant association of the type of muscle hypertonicity with localization of stroke was identified. The most effective way of rehabilitation in mixed spastic muscle hypertonicity was suggested.
About the Author
A. A. Korolev
The Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia, St. Petersburg
Russian Federation
Russian Federation
References
1. Belova A.N. Neiroreabilitatsiya [Neurorehabilitation]. Moskva. 2010. 1288 p. (In Russ.)
2. Gusev E.I., Konovalov A.N., Brud G.S. Nevrologiya i neirokhirurgiya [Neurology and neurosurgery]. Moskva. 2000. 831 p. (In Russ.)
3. Kachan A.T. Igloterapiya i «tochechnyi» massazh pri spasticheskikh gemi- i paraparezakh [Acupuncture and "point" massage in spastic hemi- and paraparesis]. Sankt-Peterburg. 2010. 24 p. (In Russ.)
4. Levin O.S. Mekhanizm regulyatsii dvizhenii i patogenez osnovnykh ekstrapiramidnykh sindromov [The mechanism of regulation of movements and basic pathogenesis of extrapyramidal syndromes]. Ekstrapiramidnye rasstroistva [Extrapyramidal disorders]. Eds. V.N. Shtoka, I.A. IvanovaSmolenskaya, O.S. Levin. Moskva. 2002. Pp. 15–55. (In Russ.)
5. Parfenov V.A. Patogenez i lechenie spastichnosti [Pathogenesis and treatment of spasticity]. Russkii meditsinskii zhurnal [Russian Medical Journal] 2011. Vol. 9, N 25. Pp. 16–18. (In Russ.)
6. Suslina Z.S., Tanashyan M.M., Ionova V.G. Ishemicheskii insul't: krov', sosudistaya stenka, antitromboticheskaya terapiya [Ischemic stroke, blood, vascular wall, antithrombotic therapy]. Moskva. 2005. 248 p. (In Russ.)
7. Khatkova S.E. Sovremennye podkhody k vedeniyu postinsul'tnykh bol'nykh so spastichnost'yu: znachenie kompleksnoi terapii s ispol'zovaniem botulotoksina [Modern approaches to the management of post-stroke patients with spasticity: meaning of combined therapy using botulinum toxin]. Farmateka [Pharmateca]. 2006. N 7. Pp. 88–92. (In Russ.)
8. Chernikova L.A. Fizicheskie metody reabilitatsii bol'nykh so spasticheskimi parezami / Sindrom verkhnego motoneirona [Physical methods of rehabilitation of patients with spastic paresis / upper motor neuron syndrome]. Eds.: I.A. Zavalishin, A.I. Osadchikh, Ya.V. Vlasov. Samara. 2005. Pp. 242–279. (In Russ.)
9. Shkaly, testy i oprosniki v meditsinskoi reabilitatsii [Scales, tests and questionnaires in medical rehabilitation]. Eds.: A.N. Belova, O.N. Shchepetova. Moskva. 2002. 440 p. (In Russ.)
10. Shtul'man D.R., Levin O.S. Nevrologiya [Neurology: Handbook for the practitioner]. Moskva. 2007. 960 p. (In Russ.)
11. Brin M. The spasticity Study Group. Dosing, administration and a treatment algorithm for use of botulinum toxin A for adult-onset spasticity. Muscle and Nerve. 1997. Vol. 20. Pp. 208–220.
12. Chouinard P., Leonard G., Paus T. Changes in effective connectivity of primary motor cortex in stroke patients after rehabilitative therapy. Exp. Neurol. 2006. Vol. 201. Pp. 375–387.
13. Davis T., Brodsky M., Carter V. Consensus statement on the use of botulinum neurotoxin to treat spasticity in adults. Pharmacy and Therapeutics. 2006. Vol. 31. Pp. 666–682.
14. Formisano R. Late motor recovery is influenced by muscle tone changes after stroke. Arch. Med. Rehabil. 2005. Vol. 86. Pp. 308–311.
15. Francisco G. Botulinum toxin for post-stroke spastic hypertonia: a review of its efficacy and application in clinical practice. Ann. Acad. Med. Singapore. 2007. Vol. 36. Pp. 22–30.
16. Sheean G. Neurophysiology of spasticity. In: Upper motor neuron syndrome and spasticity. Cambridge University Press. 2001. Pp. 78–81.
Review
For citations:
Korolev A.A. POST STROKE SPASTIC PARESIS ACCO MPANIED WITH PLASTIC RIGIDITY: DEVELOPMENT FEATURES AND REHABILITATION PRINCIPLES. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2013;(2):21-27. (In Russ.) https://doi.org/10.25016/2541-7487-2013-0-2-66-72
Views:
1094
Email this article 