Correlation between upper limb spasticity and hand movement after stroke
DOI:
https://doi.org/10.1590/1809-2950/20030129012022PTKeywords:
Stroke, Muscle Spasticity, Hand StrengthAbstract
Hemiparesis and spasticity are common consequences in stroke patients, causing difficulty in movement the affected side. The aim of this study was to correlate upper limb (UL) spasticity and the ability to move the hand in these patients. Quantitative cross-sectional study with an ex post facto correlational design. Cross-sectional study of correlational ex post facto design. Patients undergoing follow-up at the Neurovascular Outpatient Clinic at the Hospital de Clinicas de Porto Alegre (HCPA) were evaluated. An evaluation form was filled out with sample data and the UL spasticity was evaluated using the Modified Ashworth Scale (MAS) and the active hand movement using the Hand Movement Scale (HMS). Correlation of variables verified using Kendall's Tau Correlation Coefficient. A significance level of 5% (p≤0.05) was accepted. Forty-seven subjects of both sexes were evaluated, with a mean age of 64.5 (± 13) years and a mean stroke time of 2.7 (± 1.8) months. The EMM mode was 6 points, and 74.4% of patients were not spastic. Hand movement showed a significant negative correlation with the spastic muscles evaluated. There was a moderate negative correlation with the pectoral muscles (r=-.383/ p=.007), elbow flexors (r=-.339/ p=.016) and pronators (r=-.460/ p=.001) and high with wrist flexors (r=-.588/ p<.001) and finger flexors (r=-.692/ p<.001). The greater the degree of spasticity of the upper limb, the smaller the hand movement capacity in stroke patients.
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