دورية أكاديمية

Predictive factors for spasticity among ischemic stroke patients.

التفاصيل البيبلوغرافية
العنوان: Predictive factors for spasticity among ischemic stroke patients.
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