Predictive factors for spasticity among ischemic stroke patients

Spasticity is a determining for functional loss following ischemic stroke. To detect possible predictive factors for its occurrence. Demographic, clinical and tomographic data on 146 stroke patients were analyzed. Spasticity was noted more frequently among patients who underwent physiotherapy (p<...

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Published in:Arquivos de neuro-psiquiatria Vol. 67; no. 4; pp. 1029 - 1036
Main Authors: Moura, Rita de Cássia Dos Reis, Fukujima, Márcia Maiumi, Aguiar, Alexandre Santos, Fontes, Sissy Veloso, Dauar, Rafi Felício Bauab, Prado, Gilmar Fernandes do
Format: Journal Article
Language:English
Published: Brazil Academia Brasileira de Neurologia - ABNEURO 01-12-2009
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Summary:Spasticity is a determining for functional loss following ischemic stroke. To detect possible predictive factors for its occurrence. Demographic, clinical and tomographic data on 146 stroke patients were analyzed. Spasticity was noted more frequently among patients who underwent physiotherapy (p<0.0001; OR=19.4; 95% CI: 4.4-84.5), those who underwent such treatment for long periods (p=0.028; OR=4.80; 95% CI: 1.1-8.3) and those with manual work (p=0.041; OR=2.2; 95% CI: 1.02-4.6), lower income (p=0.038), pain complaints (p<0.0001; OR=107.0; 95% CI: 13.5-847.3), appearance of pain at the same time as spasticity (p<0.0001), previous vascular disease (p=0.001; OR=4.2; 95% CI: 1.7-10.3), muscle weakness (p<0.0001; OR=91.9; 95% CI: 12.0-699.4), extensive lesions as seen on tomography (p=0.01) and lesions affecting more than one cerebral lobe (p=0.018). Manual work had a relative risk of 2.9; previous stroke 3.9, and extensive lesion 3.6. Spasticity affected 25% of the patients, and was associated with: manual work, previous stroke, extensive lesions, decrease in individual income, underwent physiotherapy, underwent physiotherapy for longer period, pain complaints, the pain started simultaneously with the spasticity, presented changes in strength.
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ISSN:0004-282X
1678-4227
1678-4227
0004-282X
DOI:10.1590/S0004-282X2009000600013