Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 12 , Pages 1636-1642 , December 2006

Evaluation of Spastic Muscle in Stroke Survivors Using Magnetic Resonance Imaging and Resistance to Passive Motion

Presented in part to the American College of Sports Medicine, June 2004, Indianapolis, IN.

  • Lori L. Ploutz-Snyder, PhD

      Affiliations

    • Department of Exercise Science, Syracuse University, Syracuse, NY
    • Physical Medicine and Rehabilitation, SUNY Upstate Medical University, Syracuse, NY
    • Corresponding Author InformationReprint requests to Lori L. Ploutz-Snyder, PhD, Dept of Exercise Science, Syracuse University, 820 Comstock Ave, Rm 201, Syracuse, NY 13244
    • ,
  • Brian C. Clark, PhD

      Affiliations

    • Department of Exercise Science, Syracuse University, Syracuse, NY
    • ,
  • Lynne Logan, PT

      Affiliations

    • Physical Medicine and Rehabilitation, SUNY Upstate Medical University, Syracuse, NY
    • ,
  • Margaret Turk, MD

      Affiliations

    • Physical Medicine and Rehabilitation, SUNY Upstate Medical University, Syracuse, NY

References 

  1. Sehgal N, McGuire JR. Beyond Ashworth (Electrophysiologic quantification of spasticity). Phys Med Rehabil Clin N Am. 1998;9:949–979ix
  2. Lieber RL, Steinman S, Barash IA, Chambers H. Structural and functional changes in spastic skeletal muscle. Muscle Nerve. 2004;29:615–627
  3. Condliffe EG, Clark DJ, Patten C. Reliability of elbow stretch reflex assessment in chronic post-stroke hemiparesis. Clin Neurophysiol. 2005;116:1870–1878
  4. Katz RT, Rovai GP, Brait C, Rymer WZ. Objective quantification of spastic hypertonia: correlation with clinical findings. Arch Phys Med Rehabil. 1992;73:339–347
  5. Nuyens GE, De Weerdt WJ, Spaepen AJ, Kiekens C, Feys HM. Reduction of spastic hypertonia during repeated passive knee movements in stroke patients. Arch Phys Med Rehabil. 2002;83:930–935
  6. Schmit BD, Dewald JP, Rymer WZ. Stretch reflex adaptation in elbow flexors during repeated passive movements in unilateral brain-injured patients. Arch Phys Med Rehabil. 2000;81:269–278
  7. Starsky AJ, Sangani SG, McGuire JR, Logan B, Schmit BD. Reliability of biomechanical spasticity measurements at the elbow of people poststroke. Arch Phys Med Rehabil. 2005;86:1648–1654
  8. Bendahan D, Giannesini B, Cozzone PJ. Functional investigations of exercising muscle: a noninvasive magnetic resonance spectroscopy-magnetic resonance imaging approach. Cell Mol Life Sci. 2004;61:1001–1015
  9. Patten C, Meyer RA, Fleckenstein JL. T2 mapping of muscle. Semin Musculoskelet Radiol. 2003;7:297–305
  10. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67:206–207
  11. Ploutz LL, Tesch PA, Biro RL, Dudley GA. Effect of resistance training on muscle use during exercise. J Appl Physiol. 1994;76:1675–1681
  12. Ploutz-Snyder LL, Tesch PA, Crittenden DJ, Dudley GA. Effect of unweighting on skeletal muscle use during exercise. J Appl Physiol. 1995;79:168–175
  13. Ploutz-Snyder LL, Nyren S, Cooper TG, Potchen EJ, Meyer RA. Different effects of exercise and edema on T2 relaxation in skeletal muscle. Magn Reson Med. 1997;37:676–682
  14. Ploutz-Snyder LL, Yackel-Giamis EL, Rosenbaum AE, Formikell M. Use of muscle functional magnetic resonance imaging with older individuals. J Gerontol A Biol Sci Med Sci. 2000;55:B504–B511
  15. Simion RP, Aminoff MJ, Greenberg DA. In: Clinical neurology. New York: McGraw Hill; 1999;p. 165
  16. Eser P, Frotzler A, Zehnder Y, Schiessl H, Denoth J. Assessment of anthropometric, systemic, and lifestyle factors influencing bone status in the legs of spinal cord injured individuals. Osteoporos Int. 2005;16:26–34
  17. Ryan AS, Dobrovolny CL, Smith GV, Silver KH, Macko RF. Hemiparetic muscle atrophy and increased intramuscular fat in stroke patients. Arch Phys Med Rehabil. 2002;83:1703–1707
  18. Metoki N, Sato Y, Satoh K, Okumura K, Iwamoto J. Muscular atrophy in the hemiplegic thigh in patients after stroke. Am J Phys Med Rehabil. 2003;82:862–865
  19. Tsuji T, Liu M, Hase K, Masakado Y, Chino N. Trunk muscles in persons with hemiparetic stroke evaluated with computed tomography. J Rehabil Med. 2003;35:184–188
  20. Slager UT, Hsu JD, Jordan C. Histochemical and morphometric changes in muscles of stroke patients. Clin Orthop Relat Res 1985;Oct(199):159-68.
  21. Dietz V, Ketelsen UP, Berger W, Quintern J. Motor unit involvement in spastic paresis (Relationship between leg muscle activation and histochemistry). J Neurol Sci. 1986;75:89–103
  22. Edstrom L. Selective changes in the size of red and white muscle fibers in upper motor lesion and parkinsonism. J Neurol Sci. 1970;11:537–550
  23. Scelsi R, Lotta S, Lommi G, Poggi P, Marchetti C. Hemiplegic atrophy (Morphological findings in the anterior tibial muscle of patients with cerebral vascular accidents). Acta Neuropathol (Berl). 1984;62:324–331
  24. Hachisuka K, Umezu Y, Ogata H. Disuse muscle atrophy of lower limbs in hemiplegic patients. Arch Phys Med Rehabil. 1997;78:13–18
  25. Adams GR, Duvoisin MR, Dudley GA. Magnetic resonance imaging and electromyography as indexes of muscle function. J Appl Physiol. 1992;73:1578–1583

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(06)01345-1

doi: 10.1016/j.apmr.2006.09.013

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 12 , Pages 1636-1642 , December 2006

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