ArticleFrontiers in human neuroscience2017
Spasticity Measurement Based on Tonic Stretch Reflex Threshold in Children with Cerebral Palsy Using the PediAnklebot.
Article in Frontiers in human neuroscience, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Technology-assisted assessment of spasticity: a systematic review.Journal of neuroengineering and rehabilitation · 2022Pooled it
- Learning ballet technique modulates the stretch reflex in students with cerebral palsy: case series.BMC neuroscience · 2024Trial
- Reliability, validity and discriminant ability of a robotic device for finger training in patients with subacute stroke.Journal of neuroengineering and rehabilitation · 2020Trial
- A lightweight passive ankle exoskeleton with dual-phase energy harvesting and stiffness adaptation.Wearable technologies · 2026Article
- The Weak Relationship Between Ankle Proprioception and Gait Speed After Stroke: A Robotic Assessment Study.Neurorehabilitation and neural repair · 2025Article
- Advancements in Understanding Spasticity: A Neuromusculoskeletal Modeling Perspective.Journal of clinical medicine · 2025Review
- Advancing Gait Rehabilitation: A Systematic Review of Robotic Exoskeletons for Cerebral Palsy.Wearable technologies · 2025Review
- Methods of muscle spasticity assessment in children with cerebral palsy: a scoping review.Journal of orthopaedic surgery and research · 2024Article
- Measuring Kinematic Response to Perturbed Locomotion in Young Adults.Sensors (Basel, Switzerland) · 2022Article
- Revising the stretch reflex threshold method to measure stretch hyperreflexia in cerebral palsy.Frontiers in bioengineering and biotechnology · 2022Article
- Robotic devices for paediatric rehabilitation: a review of design features.Biomedical engineering online · 2021Review
- Quantitative Modeling of Spasticity for Clinical Assessment, Treatment and Rehabilitation.Sensors (Basel, Switzerland) · 2020Review
- A Novel Quantitative Spasticity Evaluation Method Based on Surface Electromyogram Signals and Adaptive Neuro Fuzzy Inference System.Frontiers in neuroscience · 2020Article
- Article
- Reactive Postural Responses to Continuous Yaw Perturbations in Healthy Humans: The Effect of Aging.Sensors (Basel, Switzerland) · 2019Article
- Detection of stretch reflex onset based on empirical mode decomposition and modified sample entropy.BMC biomedical engineering · 2019Article
- Spasticity assessment based on the Hilbert-Huang transform marginal spectrum entropy and the root mean square of surface electromyography signals: a preliminary study.Biomedical engineering online · 2018Article
- On the Reliability and Repeatability of Surface Electromyography Factorization by Muscle Synergies in Daily Life Activities.Applied bionics and biomechanics · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nowadays, objective measures are becoming prominent in spasticity assessment, to overcome limitations of clinical scales. Among others, Tonic Stretch Reflex Threshold (TSRT) showed promising results. Previous studies demonstrated the validity and reliability of TSRT in spasticity assessment at elbow and ankle joints in adults. Purposes of the present study were to assess: (i) the feasibility of measuring TSRT to evaluate spasticity at the ankle joint in children with Cerebral Palsy (CP), and (ii) the correlation between objective measures and clinical scores. A mechatronic device, the pediAnklebot, was used to impose 50 passive stretches to the ankle of 10 children with CP and 3 healthy children, to elicit muscles response at 5 different velocities. Surface electromyography, angles, and angular velocities were recorded to compute dynamic stretch reflex threshold; TSRT was computed with a linear regression through angles and angular velocities. TSRTs for the most affected side of children with CP resulted into the biomechanical range (95.7 ± 12.9° and 86.7 ± 17.4° for Medial and Lateral Gastrocnemius, and 75.9 ± 12.5° for Tibialis Anterior). In three patients, the stretch reflex was not elicited in the less affected side. TSRTs were outside the biomechanical range in healthy children. However, no correlation was found between clinical scores and TSRT values. Here, we demonstrated the capability of TSRT to discriminate between spastic and non-spastic muscles, while no significant outcomes were found for the dorsiflexor muscle.
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