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Title: Do clinical tests of spasticity accurately reflect muscle function during walking: a systematic review.
Epworth Authors: Banky, Megan
Olver, John
Williams, Gavin
Ryan, Hannah
Other Authors: Clark, Ross
Keywords: Lower Limb
Assessment, Patient Outcomes
Outcome Assessment, Patient
Muscle Spasticity
Range of Motion
Patient Outcome Assessment
Epworth Monash Rehabilitation Unit (EMReM), Epworth HealthCare, Richmond, Victoria, Australia.
Rehabilitation Medicine, Epworth HealthCare, Richmond, Victoria, Australia.
Physiotherapy Department, Epworth HealthCare, Richmond, Victoria, Australia.
Issue Date: Jul-2016
Conference: Epworth Research Institute Research Week 2016.
Conference Location: Richmond, Victoria, Australia.
Abstract: Spasticity is a highly prevalent impairment following a neurological injury. Historically, spasticity has been shown to have a detrimental impact on function, pain levels, rehabilitation length of stay and mobility. However there is a body of emerging evidence suggesting that spasticity may not have as large an impact on mobility outcomes as previously suggested. This lack of consensus may be due to a disparity between clinical assessment findings and how spasticity manifests during walking. The ecological validity of a scale refers to the relevance of the test result to everyday function and not purely its reflection of a clinical phenomenon. Evaluating whether clinical scales of spasticity accurately reflect muscle function during walking may give an indication of the ecological validity of these scales and provide a stronger justification for their usage in daily practice. The aim of this systematic review was to establish the ecological validity of clinical tests of lower limb spasticity by determining whether the range of motion (ROM) and speed of assessment accurately replicate biomechanics during walking.
Type: Conference Poster
Affiliated Organisations: Faculty of Science, Health, Education and Engineering, University of Sunshine Coast, Sunshine Coast, Queensland, Australia.
Rehabilitation Medicine, Monash University, Victoria, Australia.
Physiotherapy Department, The University of Melbourne, Parkville, VIctoria, Australia.
Type of Clinical Study or Trial: Systematic Reviews
Appears in Collections:Rehabilitation

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