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Objective To establish a correlation between the modified Ashworth scale (MAS) and amplitude and latency of T-reflex and to demonstrate inter-rater and intra-rater reliability of the T-reflex of the biceps muscle for assessing spasticity after stroke.

Method A total of 21 patients with hemiplegia and spasticity after ischemic stroke were enrolled for this study. The spasticity of biceps muscle was evaluated by an occupational therapist using the MAS. The mean value of manual muscle test of biceps muscles was 2.3±0.79. Latency and amplitude of T-reflex were recorded from biceps muscles by two physicians. The onset latency and peak to peak amplitude of the mean of 5 big T-reflex were measured. The examinations were carried out by two physicians at the same time to evaluate the inter-rater reliability. Further, one of the physicians performed the examination again after one week to evaluate the intra-rater reliability. The correlations between MAS and T-reflex, and the intra- and inter-rater reliability of biceps T-reflex were established by calculating the Spearman correlation coefficients and the intra-class correlation coefficients (ICCs).

Results Amplitude of the biceps T-reflex increased with increasing level of MAS (r_s_=0.464 and 0.573, respectively, p<0.01). ICCs of latency and amplitude of biceps T-reflex were 0.914 and 0.822. The Spearman correlation coefficients of latency and amplitude of biceps T-reflex were 0.937 and 0.635, respectively (p<0.01).

Conclusion Biceps T-reflex demonstrates a good quantitative measurement and correlation tool with MAS for spasticity, and also shows acceptable inter- and intra-rater reliability, which can be used for patients with spasticity after stroke.

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참고문헌 (16건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Neurology. 1980 Jul;30(7 Pt 2):19-27 미소장
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3 Phys Ther. 1987 Feb;67(2):206-7 미소장
4 Arch Phys Med Rehabil. 1977 Jul;58(7):306-8 미소장
5 Arch Phys Med Rehabil. 1999 Sep;80(9):1013-6 미소장
6 Acta Neurol Scand. 1991 Oct;84(4):273-6 미소장
7 Top Stroke Rehabil. 2009 May-Jun;16(3):177-88 미소장
8 Practitioner. 1964 Apr;192:540-2 미소장
9 J Neurol Neurosurg Psychiatry. 1983 Jan;46(1):54-60 미소장
10 Clin Neurol Neurosurg. 1997 Feb;99(1):31-6 미소장
11 Neurology. 1976 Dec;26(12):1145-51 미소장
12 Int J Rehabil Res. 1996 Mar;19(1):67-78 미소장
13 Arch Phys Med Rehabil. 1974 Aug;55(8):332-7 미소장
14 Muscle Nerve. 1994 Feb;17(2):145-50 미소장
15 Electromyogr Clin Neurophysiol. 1993 Sep;33(6):347-51 미소장
16 Arch Phys Med Rehabil. 1989 Feb;70(2):144-55 미소장

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