Prevalence and evolution of spasticity in patients suffering from first-ever stroke with carotid origin: a prospective, longitudinal study

DORŇÁK, T., Mária JUSTANOVÁ, R. KONVALINKOVÁ, M. ŘÍHA, Jan MUŽÍK, M. HOSKOVCOVÁ, M. SRP, D. NAVRÁTILOVÁ, P. OTRUBA, O. GAL, Ivana SVOBODOVÁ, Ladislav DUŠEK, Martin BAREŠ, P. KAŇOVSKÝ and R. JECH. Prevalence and evolution of spasticity in patients suffering from first-ever stroke with carotid origin: a prospective, longitudinal study. European Journal of Neurology. Oxford: Rapid Science Ltd., 2019, vol. 26, No 6, p. 880-886. ISSN 1351-5101. Available from: https://dx.doi.org/10.1111/ene.13902.

Basic information

Original name

Prevalence and evolution of spasticity in patients suffering from first-ever stroke with carotid origin: a prospective, longitudinal study

Authors

DORŇÁK, T. (203 Czech Republic, guarantor), Mária JUSTANOVÁ (203 Czech Republic, belonging to the institution), R. KONVALINKOVÁ (203 Czech Republic), M. ŘÍHA, Jan MUŽÍK (203 Czech Republic, belonging to the institution), M. HOSKOVCOVÁ (203 Czech Republic), M. SRP (203 Czech Republic), D. NAVRÁTILOVÁ (203 Czech Republic), P. OTRUBA (203 Czech Republic), O. GAL (203 Czech Republic), Ivana SVOBODOVÁ (203 Czech Republic, belonging to the institution), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), Martin BAREŠ (203 Czech Republic, belonging to the institution), P. KAŇOVSKÝ and R. JECH

Edition

European Journal of Neurology, Oxford, Rapid Science Ltd. 2019, 1351-5101

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Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30103 Neurosciences

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.516

RIV identification code

RIV/00216224:14110/19:00110628

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1111/ene.13902

UT WoS

000476944800009

Keywords in English

carotid artery; incidence; prevalence; spasticity; stroke

Tags

14110127, 14119612, rivok

Tags

International impact, Reviewed

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Abstract

V originále

Background and purposeThe main aim of the study was to document the occurrence and evolution of post-stroke spasticity (PSS). The secondary goal was to identify predictors for increases and decreases in PSS rates during 12months of subsequent follow-up. MethodsIn a longitudinal, multicenter, prospective cohort study, assessments were done at 7days (V1), 6months (V2), and 12months (V3) after stroke onset. A total of 307 consecutive patients from four comprehensive stroke centers with the first-ever stroke of carotid origin and the presence of motor deficit at day 7 were included. The demographic data, baseline characteristics, Barthel index, degree and pattern of paresis and muscle tone were evaluated and recorded. Spasticity was assessed using the modified Ashworth scale. ResultsSpasticity was present in 45.0% of patients at V1, in 49.5% at V2, and in 43.2% at V3. A significant number of patients experienced changes in spasticity between visits: increased/new occurrence of spasticity in 32.5% (V1 and V2) and in 13.6% (V2 and V3) of patients; decreased occurrence/disappearance of spasticity in 18.5% (V1 and V2) and in 18.3% (V2 and V3) of patients. The number of patients with severe spasticity increased throughout the year, from 2.6% to 13.0% (V2) and 12.5% (V3). ConclusionsSpasticity developed in almost half of the included patients. The degree of spasticity often changed over time, in both directions. The rate of severe spasticity increased during the first year, with the maximum at 6months following stroke onset.