Evidence map›Paper›PMID 35432169›Full record

ArticleFrontiers in neurology2022

Requirements for Eliciting a Spastic Response With Passive Joint Movements and the Influence of Velocity on Response Patterns: An Experimental Study of Velocity-Response Relationships in Mild Spasticity With Repeated-Measures Analysis.

Kenta Fujimura, Masahiko Mukaino, Shota Itoh, Haruna Miwa, Ryoka Itoh, Daisuke Narukawa, Hiroki Tanikawa, Yoshikiyo Kanada, Eiichi Saitoh, Yohei Otaka

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Kenta FujimuraFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.
Masahiko MukainoDepartment of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
Shota ItohDepartment of Rehabilitation, Fujita Health University Hospital, Toyoake, Japan.
Haruna MiwaDepartment of Rehabilitation, Fujita Health University Hospital, Toyoake, Japan.
Ryoka ItohDepartment of Rehabilitation, Fujita Health University Hospital, Toyoake, Japan.
Daisuke NarukawaDepartment of Rehabilitation, Fujita Health University Hospital, Toyoake, Japan.
Hiroki TanikawaFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.
Yoshikiyo KanadaFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.
Eiichi SaitohDepartment of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
Yohei OtakaDepartment of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
Fujita Health University · JPFujita Health University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Spasticity is defined as a velocity-dependent increase in tonic stretch reflexes and is manually assessed in clinical practice. However, the best method for the clinical assessment of spasticity has not been objectively described. This study analyzed the clinical procedure to assess spasticity of the elbow joint using an electrogoniometer and investigated the appropriate velocity required to elicit a spastic response and the influence of velocity on the kinematic response pattern. Methods: This study included eight healthy individuals and 15 patients with spasticity who scored 1 or 1+ on the modified Ashworth Scale (MAS). Examiners were instructed to manually assess spasticity twice at two different velocities (slow and fast velocity conditions). During the assessment, velocity, deceleration value, and angle [described as the % range of motion (%ROM)] at the moment of resistance were measured using an electrogoniometer. Differences between the slow and fast conditions were evaluated. In addition, variations among the fast condition such as the responses against passive elbow extension at <200, 200-300, 300-400, 400°/s velocities were compared between the MAS 1+, MAS 1, and control groups. Results: Significant differences were observed in the angular deceleration value and %ROM in the fast velocity condition (417 ± 80°/s) between patients and healthy individuals, but there was no difference in the slow velocity condition (103 ± 29°/s). In addition, the deceleration values were significantly different between the MAS 1 and MAS 1+ groups in velocity conditions faster than 300°/s. In contrast, the value of %ROM plateaued when the velocity was faster than 200°/s. Conclusion: The velocity of the passive motion had a significant effect on the response pattern of the elbow joint. The velocity-response pattern differed between deceleration and the angle at which the catch occurred; the value of deceleration value for passive motion was highly dependent on the velocity, while the %ROM was relatively stable above a certain velocity threshold. These results provide clues for accurate assessment of spasticity in clinical practice.

Indexed as

clinical assessmentelbow jointresistancespasticityvelocity-dependent

Identifiers

PMID35432169
PMCPMC9007406
OpenAlexW4220965884

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.