2002, Number 2
<< Back Next >>
Rev Mex Ing Biomed 2002; 23 (2)
System for the Evaluation of Muscular Spasticity
Schiaffino L, Spaich E, Rufiner A, Escobar S, Tabernig C
Language: Spanish
References: 13
Page: 116-122
PDF size: 123.18 Kb.
ABSTRACT
Spasticity is a motor control disorder common in people with lesions in the central nervous system. To evaluate the effect of different rehabilitation treatments it is necessary to assess the level of spasticity. A system to evaluate the spasticity of the quadriceps muscle, before and after applying a treatment based on electrical stimulation, is described in this paper. The spasticity level is quantified through the normalized relaxation index (NRI), computed after performing the pendulum test. It is also assessed by the Ashworth scale and the patient opinion.
The system consists of 3 blocks: a goniometer, a portable unit that records and transfers the data to the PC, and specific software. The entire system was used to evaluate 32 patients. Based on the experimental results, we can conclude that the system was robust and easy to operate in the hospital environment. Furthermore, the possibility of recording the evolution of spasticity levels, both qualitatively and quantitatively, offers a useful tool to study the effects of electrical stimulation on spasticity.
REFERENCES
Arroyo MO, Arzoz T, Cabrera J, Calderon F, Sebatián F, Matín Serrano E. Espasticidad. Rehabilitación, 1998; 32: 419-429.
Stefanovska A, Rebersek S, Bajd T, Dodovnik L. Effects of electrical stimulation on spasticity. Critical Reviews in Physical and Rehabilitation Med 1991; 3(1): 59-99.
Rebersek S, Vodovnik L, Stefanovska A, Bajd T, Gregoric M, Gros N. Modification of spasticity with electrical stimulation. Progress Reports on Electronics in Med. and Biology 1986; 159-166.
Vodovnik L, Bowman BR, Hufford P. Effects of electrical stimulation on spinal spasticity. Scand. Journal Rehabilitation Med 1984; 16: 29-34.
Vodovnik L, Stefanovska A, Bajd T. Effects of stimulation parameters on modification of spinal spasticity. Medical & Biological Eng & Comp 1987; 25: 439-442.
Dewal JPA, Given JD, Rymer WZ. Long-lasting reduction of spasticity induced by skin electrical stimulation. IEEE Transaction on Rehabilitation Eng 1996; 4(4): 231-242.
Stefanovska A, Vodovnik L, Gros N, Rebersek S, Acimovic-Janezic R. FES and spasticity. IEEE Transaction on Biomedical Eng 1989; 36(7): 738-745.
Vodovnik L, Bowman BR, Winchester P. Effect of electrical stimulation on spasticity in hemiparetic patients. International Rehabilitation Medicine 1984; 6: 153-156.
Spaich E, Tabernig C, Sgobba ME, Sotelano F. Short term effects of surface electrical stimulation on spasticity: preliminary results. Proceedings of 5th Conf. of the Inter. Functional Electrical Stim. Society 2000; 100-102.
Priebe MM, Sherwood AM, Thornby J I, Kharas NF, Markowski J. Clinical assessment of spasticity in spinal cord injury: a multidimensional problem. Arch Phys Medical Rehabilitation, 1996; 77: 713-716.
Ferrarin M, Osio M, Abello G. A new biomechanical approach to pendulum test for spasticity evaluation. Proceedings of the EEC-RAFT Workshop, Milano, Diciembre 1993.
Bajd T, Vodovnik L. Pendulum testing of spasticity. Journal Biomedical Engineering 1984; 6: 9-16.
Bajd T, Bowman B. Testing and modelling of spasticity. Journal Biomedical Engineering 1982; 4: 90-96.