ArticleThe journal of spinal cord medicine2019
Impact of spasticity on transfers and activities of daily living in individuals with spinal cord injury.
Article in The journal of spinal cord medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Physiotherapy interventions for the treatment of spasticity in people with spinal cord injury: a systematic review.Spinal cord · 2021Pooled it
- Patient-reported effects of transcutaneous spinal cord stimulation on spasticity in patients with spinal cord injury.The journal of spinal cord medicine · 2026Article
- Impact of spasticity on quality of life of Lebanese individuals with spinal cord injury: Validity and reliability of the Arabic modified patient-reported impact of spasticity measure.The journal of spinal cord medicine · 2025Article
- Intrathecal baclofen therapy for spasticity in a person with spinal cord injury and end-stage renal disease dependent on hemodialysis: a case report.Spinal cord series and cases · 2024Article
- Evaluating Community-Based Intrathecal Baclofen Therapy: Effectiveness, Safety, and Feasibility.Journal of clinical medicine · 2024Article
- Management of spasticity in individuals with spinal cord injury in the era of COVID-19 pandemic societal restrictions.Spinal cord series and cases · 2023Article
- Primary Care in the Spinal Cord Injury Population: Things to Consider in the Ongoing Discussion.Current physical medicine and rehabilitation reports · 2023Review
- Phenol neurolysis in people with spinal cord injury: a descriptive study.Spinal cord series and cases · 2022Article
- Properties of the surface electromyogram following traumatic spinal cord injury: a scoping review.Journal of neuroengineering and rehabilitation · 2021Article
- Bilateral and asymmetrical contributions of passive and active ankle plantar flexors stiffness to spasticity in humans with spinal cord injury.Journal of neurophysiology · 2020Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
CONTEXT/
objectiveFor persons with spinal cord injury, spasticity commonly interferes with activities of daily living such as transfers. Electromyography can be used to objectively measure muscle spasms during transfers, but how electromyographic measures relate to the impact spasticity has on life, or to clinically-rated spasticity, is unclear. We aimed to characterize relationships among spasm duration and magnitude, impact of spasticity on daily life, and a clinical measure of extensor spasticity, as well as to determine reliability of the electromyographic measures.
designParticipants (N=19) underwent electromyographic measurements of involuntary muscle activity (spasm duration and magnitude) evoked in quadriceps muscles during transfers on two days. Impact of spasticity on daily life was measured with the Spinal Cord Injury Spasticity Evaluation Tool. Clinically-rated spasticity severity was measured with the Spinal Cord Assessment Tool for Spastic reflexes.
resultsNo significant associations were found between impact of spasticity and spasm duration, spasm magnitude, or clinical extensor spasticity score. Absolute and normalized spasm duration were positively associated with clinical extensor spasticity score (rho=0.510-0.667, P < 0.05). Spasm measures during transfers had good to excellent day-to-day reliability (rho=0.656-0.846, P < 0.05).
conclusionsElectromyographic and clinical measures of involuntary activity in the lower extremity do not significantly relate to perceived impact of spasticity on daily life. However, quadriceps spasm duration during transfers is related to clinically-rated extensor spasticity. Electromyography is a reliable method of quantifying quadriceps spasms during transfers. Future investigations should identify factors that influence the impact of spasticity on life, which may help direct treatment strategies to reduce problematic impact.
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