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A neurophysiological and clinical study of Brunnstrom recovery stages in the upper limb following stroke.
MedLine Citation:
PMID:  20715900     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PRIMARY OBJECTIVE: To determine the extent to which the Brunnstrom recovery stages of upper limb in hemiparetic stroke patients are correlated to neurophysiological measures and the spasticity measure of Modified Modified Ashworth Scale (MMAS). Research design: A concurrent criterion-related validity study.
INTERVENTIONS: Not applicable.
METHODS AND PROCEDURES: Thirty patients (15 men and 15 women; mean ± SD = 58.8 ± 11.5 years) with upper limb spasticity after stroke were recruited. Wrist flexor spasticity was rated using the MMAS. The neurophysiological measures were Hslp/Mslp ratio, H(max)/M(max) ratio and Hslp. Main outcomes and results: There was a significant moderate correlation between the Brunnstrom recovery stages and the neurophysiological measures. The Brunnstrom recovery stages were highly correlated to the MMAS scores (r = -0.81, p < 0.0001).
CONCLUSIONS: The Brunnstrom recovery stages are moderately correlated with neurophysiological measures and highly correlated with the MMAS regarding the evaluation of motor recovery in stroke patients. The Brunnstrom recovery stages can be used as a valid test for the assessment of patients with post-stroke hemiplegia.
Authors:
Soofia Naghdi; Noureddin Nakhostin Ansari; Korosh Mansouri; Scott Hasson
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Brain injury : [BI]     Volume:  24     ISSN:  1362-301X     ISO Abbreviation:  Brain Inj     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  England    
Other Details:
Languages:  eng     Pagination:  1372-8     Citation Subset:  IM    
Affiliation:
Faculty of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. naghdi@sina.tums.ac.ir
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