Development of muscle contractures and spasticity during subacute rehabilitation after severe acquired brain injury: a prospective cohort study

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Development of muscle contractures and spasticity during subacute rehabilitation after severe acquired brain injury : a prospective cohort study. / Baagøe, Susanne Kirk; Kofoed-Hansen, Mathilde; Poulsen, Ingrid; Riberholt, Christian Gunge.

I: Brain Injury, Bind 33, Nr. 11, 2019, s. 1460-1466.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Baagøe, Susanne Kirk ; Kofoed-Hansen, Mathilde ; Poulsen, Ingrid ; Riberholt, Christian Gunge. / Development of muscle contractures and spasticity during subacute rehabilitation after severe acquired brain injury : a prospective cohort study. I: Brain Injury. 2019 ; Bind 33, Nr. 11. s. 1460-1466.

Bibtex

@article{9958373396d64f9a90eaccc371218d29,
title = "Development of muscle contractures and spasticity during subacute rehabilitation after severe acquired brain injury: a prospective cohort study",
abstract = "Objective: This study investigated the development of contractures, passive stiffness, and spasticity in the ankle joint in patients with severe acquired brain injury (ABI) from admission to rehabilitation unit until 1-year post-injury compared to healthy controls. Design: An observational longitudinal cohort study Methods and procedures: Nineteen patients (26 affected ankle joints) with severe ABI >17 years old and with paresis of a lower limb admitted to sub-acute neurorehabilitation were compared to 14 healthy controls (28 ankle joints). Passive and reflex-mediated ankle joint stiffness was obtained measuring torque, range of motion, velocity and acceleration of the ankle movements. Data was collected at inclusion, after 4-5 weeks, after 8-9 weeks and at 1-year follow-up. Outcomes and results: At admittance to rehabilitation range of motion and stiffness was significantly lower compared to controls. Range of motion decreased by one degree in three weeks and passive ankle joint stiffness increased significantly by 1% per week. More patients than controls had no stretch reflex. Conclusion: Patients with severe ABI show reduced mobility and increased passive stiffness despite less spasticity in the ankle joint compared to healthy controls. Research and clinical practice should therefore focus intensively on the prevention of contractures in the ankle joint. ISRCTN17910097.",
author = "Baag{\o}e, {Susanne Kirk} and Mathilde Kofoed-Hansen and Ingrid Poulsen and Riberholt, {Christian Gunge}",
year = "2019",
doi = "10.1080/02699052.2019.1646433",
language = "English",
volume = "33",
pages = "1460--1466",
journal = "Brain Injury",
issn = "0269-9052",
publisher = "Taylor & Francis ",
number = "11",

}

RIS

TY - JOUR

T1 - Development of muscle contractures and spasticity during subacute rehabilitation after severe acquired brain injury

T2 - a prospective cohort study

AU - Baagøe, Susanne Kirk

AU - Kofoed-Hansen, Mathilde

AU - Poulsen, Ingrid

AU - Riberholt, Christian Gunge

PY - 2019

Y1 - 2019

N2 - Objective: This study investigated the development of contractures, passive stiffness, and spasticity in the ankle joint in patients with severe acquired brain injury (ABI) from admission to rehabilitation unit until 1-year post-injury compared to healthy controls. Design: An observational longitudinal cohort study Methods and procedures: Nineteen patients (26 affected ankle joints) with severe ABI >17 years old and with paresis of a lower limb admitted to sub-acute neurorehabilitation were compared to 14 healthy controls (28 ankle joints). Passive and reflex-mediated ankle joint stiffness was obtained measuring torque, range of motion, velocity and acceleration of the ankle movements. Data was collected at inclusion, after 4-5 weeks, after 8-9 weeks and at 1-year follow-up. Outcomes and results: At admittance to rehabilitation range of motion and stiffness was significantly lower compared to controls. Range of motion decreased by one degree in three weeks and passive ankle joint stiffness increased significantly by 1% per week. More patients than controls had no stretch reflex. Conclusion: Patients with severe ABI show reduced mobility and increased passive stiffness despite less spasticity in the ankle joint compared to healthy controls. Research and clinical practice should therefore focus intensively on the prevention of contractures in the ankle joint. ISRCTN17910097.

AB - Objective: This study investigated the development of contractures, passive stiffness, and spasticity in the ankle joint in patients with severe acquired brain injury (ABI) from admission to rehabilitation unit until 1-year post-injury compared to healthy controls. Design: An observational longitudinal cohort study Methods and procedures: Nineteen patients (26 affected ankle joints) with severe ABI >17 years old and with paresis of a lower limb admitted to sub-acute neurorehabilitation were compared to 14 healthy controls (28 ankle joints). Passive and reflex-mediated ankle joint stiffness was obtained measuring torque, range of motion, velocity and acceleration of the ankle movements. Data was collected at inclusion, after 4-5 weeks, after 8-9 weeks and at 1-year follow-up. Outcomes and results: At admittance to rehabilitation range of motion and stiffness was significantly lower compared to controls. Range of motion decreased by one degree in three weeks and passive ankle joint stiffness increased significantly by 1% per week. More patients than controls had no stretch reflex. Conclusion: Patients with severe ABI show reduced mobility and increased passive stiffness despite less spasticity in the ankle joint compared to healthy controls. Research and clinical practice should therefore focus intensively on the prevention of contractures in the ankle joint. ISRCTN17910097.

U2 - 10.1080/02699052.2019.1646433

DO - 10.1080/02699052.2019.1646433

M3 - Journal article

C2 - 31347406

VL - 33

SP - 1460

EP - 1466

JO - Brain Injury

JF - Brain Injury

SN - 0269-9052

IS - 11

ER -