دورية أكاديمية
Predictive factors for spasticity among ischemic stroke patients.
العنوان: | Predictive factors for spasticity among ischemic stroke patients. |
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المؤلفون: | Moura Rde C; Department of Emergency Medicine and Evidence-Based Medicine, São Paulo Federal University, São Paulo, SP, Brazil. ritac.moura@uol.com.br, Fukujima MM, Aguiar AS, Fontes SV, Dauar RF, Prado GF |
المصدر: | Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2009 Dec; Vol. 67 (4), pp. 1029-36. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Thieme Country of Publication: Germany NLM ID: 0125444 Publication Model: Print Cited Medium: Internet ISSN: 1678-4227 (Electronic) Linking ISSN: 0004282X NLM ISO Abbreviation: Arq Neuropsiquiatr Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2022- : [Stuttgart] : Thieme Original Publication: São Paulo. |
مواضيع طبية MeSH: | Brain Ischemia/*complications , Muscle Spasticity/*etiology , Stroke/*complications, Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Risk Factors ; Socioeconomic Factors |
مستخلص: | Unlabelled: Spasticity is a determining for functional loss following ischemic stroke. Objective: To detect possible predictive factors for its occurrence. Method: Demographic, clinical and tomographic data on 146 stroke patients were analyzed. Results: Spasticity was noted more frequently among patients who underwent physiotherapy (p<0.0001; OR=19.4; 95% CI: 4.4-84.5), those who underwent such treatment for long periods (p=0.028; OR=4.80; 95% CI: 1.1-8.3) and those with manual work (p=0.041; OR=2.2; 95% CI: 1.02-4.6), lower income (p=0.038), pain complaints (p<0.0001; OR=107.0; 95% CI: 13.5-847.3), appearance of pain at the same time as spasticity (p<0.0001), previous vascular disease (p=0.001; OR=4.2; 95% CI: 1.7-10.3), muscle weakness (p<0.0001; OR=91.9; 95% CI: 12.0-699.4), extensive lesions as seen on tomography (p=0.01) and lesions affecting more than one cerebral lobe (p=0.018). Manual work had a relative risk of 2.9; previous stroke 3.9, and extensive lesion 3.6. Conclusion: Spasticity affected 25% of the patients, and was associated with: manual work, previous stroke, extensive lesions, decrease in individual income, underwent physiotherapy, underwent physiotherapy for longer period, pain complaints, the pain started simultaneously with the spasticity, presented changes in strength. |
تواريخ الأحداث: | Date Created: 20100114 Date Completed: 20100901 Latest Revision: 20190815 |
رمز التحديث: | 20221213 |
DOI: | 10.1590/s0004-282x2009000600013 |
PMID: | 20069214 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1678-4227 |
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DOI: | 10.1590/s0004-282x2009000600013 |