The main purpose of this research is to assess the interrater reliability (3 raters) of an instrumented clinical spasticity measurement. Also, the agreement will be determined between the instrumented and non-instrumented spasticity measurement.…
ID
Source
Brief title
Condition
- Movement disorders (incl parkinsonism)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Inter rater reliability of two instrumented spasticity scales (Modified
Ashworth Scale, Modified Tardieu Scale).
Secondary outcome
Agreement between the instrumented and non-instrumented spasticity measurements.
Algorithms to distinguish between neural and non-neural stiffness.
Algorithms to evaluate other relevant clinical symptoms associated with
spasticity.
Background summary
Spasticity is a common phenomenon in upper motor neuron disorders. Spasticity
impedes voluntary movements and can lead to muscle shortening and pain. In
clinical practice, the severity of spasticity is usually determined by
subjective scales. It has been shown that both the intra and inter rater
reliability of these scales is moderate to bad. This is probably due to the
difference in experience between testers and the related manner in which the
tests are performed. An instrumented measurement using sensor technology could
improve the reliability and value for clinical decision making of these scales.
Study objective
The main purpose of this research is to assess the interrater reliability (3
raters) of an instrumented clinical spasticity measurement. Also, the agreement
will be determined between the instrumented and non-instrumented spasticity
measurement. Secondary goals are the development of algorithms to distinguish
between neural and nonneural stiffness and to objectify other relevant clinical
symptoms related to spasticity, such as clonus and catch intensity.
Study design
This study has a cross-sectional research design. On one day, participants will
be tested by three different physicians/therapists.
Study burden and risks
Participants in the study will have a single 45-minute visit in the Erasmus MC
or Rijndam rehabilitation center. During that visit, 3 doctors / therapists
will do an instrumented Modified Ashworth Scale and Tardieu Scale. Since these
scales have been used in clinical practice for a long time, these measurements
provide little risk to the participants. The stretching of the spastic muscle
may feel uncomfortable in the final position, and the day after the
measurement, muscle soreness can be felt.
's Gravendijkwal 230
Rotterdam 3015 CE
NL
's Gravendijkwal 230
Rotterdam 3015 CE
NL
Listed location countries
Age
Inclusion criteria
- Patients clinically diagnosed with spasticity (MAS > 0)
- At least 18 years of age
- Suffering from spasticity in either the elbow flexors or extensors, knee flexors or extensors, or ankle plantar flexors.
Exclusion criteria
- Having undergone any surgical treatment that influences passive and/or active joint motion.
- Presence of disturbing neurological signs like dystonia, rigidity and tremors.
- Not able to read and/or understand the patient information letter.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL62487.078.17 |