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Title: Do clinical tests of spasticity accurately reflect muscle function during walking: A systematic review.
Epworth Authors: Banky, Megan
Ryan, Hannah
Olver, John
Williams, Gavin
Other Authors: Clark, Ross
Keywords: Brain Injuries
Muscle Spasticity
Ecological Validity
Lower Limb Spasticity
Range of Motion
Limb Movement, Speed
Muscle Function
Joint Biomechanics
Modified Ashworth Scale
Clinical Measurement Tool
Clinical Scales
Physiotherapy Department, Epworth Healthcare, Melbourne, Australia
Epworth Monash Rehabilitation Unit (EMReM), Epworth HealthCare, Richmond, Victoria, Australia.
Issue Date: Mar-2017
Publisher: Taylor & Francis
Citation: Brain Inj. 2017;31(4):440-455
Abstract: OBJECTIVE: 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 limb movement during the assessment accurately replicate muscle function and joint biomechanics during walking. METHODS: An electronic search of ten databases was performed to identify all relevant articles. The reference lists of all included articles were also searched. Identification of relevant articles, data extraction and quality assessment were performed independently by two reviewers. RESULTS: Seventeen studies were included in the review. The Modified Ashworth Scale was the most commonly used clinical measure of lower limb spasticity. The ROM and speed of assessment were poorly reported for clinical scales of lower limb spasticity, making it difficult to draw conclusions regarding the relevance of these scales to walking performance. CONCLUSIONS: The ecological validity of the clinical scales of spasticity could not be determined as studies did not adequately report their testing procedure. Further research into the ecological validity of clinical scales of spasticity is required in order to better understand the impact that spasticity has on functional activities such as walking.
DOI: 10.1080/02699052.2016.1271455
PubMed URL:
ISSN: 0269-9052
Journal Title: Brain Injury
Type: Journal Article
Affiliated Organisations: Faculty of Science, Health, Education and Engineering, The University of Sunshine Coast , Queensland , Australia.
Physiotherapy Department, The University of Melbourne , Melbourne , Australia.
Type of Clinical Study or Trial: Systematic Reviews
Appears in Collections:Rehabilitation

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