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Title: Ankle plantarflexor spasticity is not differentially disabling for those who are weak following traumatic brain injury.
Epworth Authors: Williams, Gavin
Banky, Megan
McKenzie, Dean
Olver, John
Keywords: Muscle Weakness
Mobility Limitation
Ankle Joint
Ankle Injuries
Injuries, Ankle
Range of Motion, Articular
Brain Injuries
Trauma, Brain
Injuries, Brain
Traumatic Brain Injury
Muscle Strength
Recovery of Function
Muscle Spasticity
High-level Mobility Assessment Tool
Modified Tardieu Scale
Epworth Monash Rehabilitation Medicine Unit, Victoria, Australia.
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: 2016
Publisher: Taylor & Francis Online
Citation: Brain Inj. 2017;31(2):193-198
Abstract: PRIMARY OBJECTIVES: The main aim of this study was to determine whether the presence of distal lower-limb spasticity had a greater impact on mobility for those who had greater levels of muscle paresis following traumatic brain injury (TBI). RESEARCH DESIGN: This was a cross-sectional cohort study of convenience. Seventy-five people attending physiotherapy for mobility limitations following TBI participated in this study. All participants had sustained a moderate-severe TBI and were grouped according to the presence or absence of ankle plantarflexor spasticity for comparison. MAIN OUTCOMES AND RESULTS: The primary outcome measure for mobility was self-selected walking speed and the primary outcome measure for muscle strength was hand-held dynamometry. Secondary outcome measures for mobility and muscle strength were the High-level Mobility Assessment Tool (HiMAT) and ankle power generation (APG) at push-off. Spasticity was quantified with the Modified Tardieu scale. Participants with ankle plantarflexor spasticity (Group 2) had slower self-selected walking speeds. There was no statistically significant effect for Group and plantarflexor strength (p = 0.81). CONCLUSION: Although participants with ankle plantarflexor spasticity walked significantly slower than those without, the presence of ankle plantarflexor spasticity did not lead to greater mobility limitations for those who were weak.
DOI: 10.1080/02699052.2016.1218548
PubMed URL:
ISSN: 0269-9052
Journal Title: Brain Injury
Type: Journal Article
Affiliated Organisations: The University of Melbourne, Melbourne, Victoria, Australia.
School of Nursing and Midwifery, Deakin University, Melbourne, Victoria, Australia.
Type of Clinical Study or Trial: Cohort Study
Appears in Collections:Musculoskeletal

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