Abstract
Spasticity is a motor disorder characterized by a velocity-dependent increase in tonic stretch reflexes with exaggerated tendon jerks, caused by hyperexcitability of the stretch reflex (Lance in Symposium synopsis. Year Book Medical Publishers, Miami, FL, 1980, [1]). It is a common entity that is estimated to affect 35% of people post stroke (Welmer et al. in Cerebrovasc Dis 21(4):247–253, 2006, [2]), 40% of people post spinal cord injury (Noreau et al. in Am J Phys Med Rehabil [Internet] 79(6):526–535, 2000, [3]), and 50% of people post traumatic brain injury (Wedekind and Lippert-Grüner in Brain Inj [Internet] 19(9):681–684, 2005, [4]). It is also a condition associated with high morbidity that increases pain/discomfort levels, impairs daily living functioning, self-image and self-esteem, and, most of all, impairs mobility and gait.
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References
Lance J. Spasticity: disordered motor control. In: Feldman RG, Young RP, Koella WP, editors. Symposium synopsis. Miami, FL: Year Book Medical Publishers; 1980.
Welmer AK, Von Arbin M, Holmqvist LW, Sommerfeld DK. Spasticity and its association with functioning and health-related quality of life 18 months after stroke. Cerebrovasc Dis. 2006;21(4):247–53.
Noreau L, Proulx P, Gagnon L, Drolet M, Laramee MT. Secondary impairments after spinal cord injury: a population-based study. Am J Phys Med Rehabil [Internet]. 2000;79(6):526–35. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11083303.
Wedekind C, Lippert-Grüner M. Long-term outcome in severe traumatic brain injury is significantly influenced by brainstem involvement. Brain Inj [Internet]. 2005;19(9):681–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16195181.
Al-Zahrani KS, Bakheit MO. A historical review of gait analysis. Neurosciences. 2008;13:105–8.
Baker R. The history of gait analysis before the advent of modern computers. Gait Posture. 2007;26:331–42.
Fridén J, Lieber RL. Spastic muscle cells are shorter and stiffer than normal cells. Muscle Nerve. 2003;26(2):157–64.
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(1):89–103.
McKenzie MJ, Yu S, Macko RF, McLenithan JC, Hafer-Macko CE. Human genome comparison of paretic and nonparetic vastus lateralis muscle in patients with hemiparetic stroke. J Rehabil Res Dev. 2008;45(2):273–81.
Smith C, Birnbaum G, Carlter JL, et al. Tizanidine treatment of spasticity caused by multiple sclerosis:results of a double-blind, placebo-controlled trial. US Tizanidine Study Group Neurol. 1994;44:S34–42.
Turner-Stokes L. Goal attainment scaling (GAS) in rehabilitation: a practical guide. Clin Rehabil [Internet]. 2009;23(4):362–70. Available from: http://journals.sagepub.com/doi/10.1177/0269215508101742.
Whittle M. Gait analysis: an introduction. Butterworth: Heinemann; 1991.
Ferrarin M, Rabuffetti M, Bacchini M, Casiraghi A, Castagna A, Pizzi A, et al. Does gait analysis change clinical decision-making in poststroke patients? Results from a pragmatic prospective observational study. Eur J Phys Rehabil Med. 2015;51(2):171–84.
Kiresuk T, Sherman R. Goal attainment scaling: a general method for evaluating comprehensive community mental health programs. Community Ment Health J. 1968;4(6):443–53.
Levine D, Richards J, Whittle M. Gait analysis. Churchill: Livingstone; 2012.
Gitter A, Mcanelly R. The value of information resulting from instrumented gait analysis: the physiatrist. Gait Anal Sci Rehabil. 1998;69:75.
Fuller DA, Keenan MAE, Esquenazi A, Whyte J, Mayer NH, Fidler-Sheppard R. The impact of instrumented gait analysis on surgical planning: treatment of spastic equinovarus deformity of the foot and ankle. Foot Ankle Int. 2002;23(8):738–43.
Carda S, Molteni F, Bertoni M, Zerbinati P, Invernizzi M, Cisari C. Extensor hallucis longus transfer as an alternative to split transfer of the tibialis anterior tendon to correct equinovarus foot in hemiplegic patients without overactivity of tibialis anterior. J Bone Jt Surg. 2010;1262–6.
Banks A, Downey M, Martin D, Miller S. McGlamry’s comprehensive textbook of foot and ankle surgery. Lippincott: Williams and Wilkins; 2001.
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Jacinto, L.J., Reis Silva, M. (2018). Gait Analysis in the Context of Spasticity Management. In: Sandrini, G., Homberg, V., Saltuari, L., Smania, N., Pedrocchi, A. (eds) Advanced Technologies for the Rehabilitation of Gait and Balance Disorders. Biosystems & Biorobotics, vol 19. Springer, Cham. https://doi.org/10.1007/978-3-319-72736-3_31
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DOI: https://doi.org/10.1007/978-3-319-72736-3_31
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