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The aim of the study is to verify validity and reliability of the Muscle excitability scale (MES), which has been developed to access muscle susceptibility to spasms and/or clones as part of spastic motor behavior in spinal cord injured patients.
The muscle excitability scale (MES) is intended for patients after spinal cord injury. The objective is to evaluate a motor response (muscle spasms or clones) to a sensory or motor stimulus. A sensory stimulus is created by thumb and pointfinger compression of cutaneous tissue on the inside part of the middle thigh and calf. A motor stimulus is created by passive movement of the lower limb to flexion and extension. The MES grades from 0 to 4 reflect the muscle spastic or clonic tendency and the extent of this motor response (from isolated to generalized). Two investigators will examine a spastic motor behavior in 50 chronic SCI subjects using MES, Modificated Ashworth Scale (MAS) and Penn Spasms Frequency Scale (PSFS) to verify the validity and reliability of the MES.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Manual examination | Procedure | With the patient in a supine position, squeeze the skinfold between your thumb and pointfinger on the inner aspect of the middle third of the thigh and on the inner aspect of the middle third of the calf. Place your hand under the proximal calf and the heel and move the leg into maximum flexion at the hip and knee joints. After the response, if any, is completed, move the limb back into full extension. Each of these movements lasts for one second. |
| Measure | Description | Time Frame |
|---|---|---|
| Muscle Excitability Scale | Scoring from 0 to 4; 0 = no motor response (muscle spasm or clonus) to a tactile stimulus or passive movement; 4 = generalized motor response to both a tactile stimulus and passive movement | through study completion, an average of 1 year |
| Modified Ashworth Scale | Scoring from 0 to 4; 0 = no increase in muscle tone; 4 = affected part(s) rigid in flexion or extension | through study completion, an average of 1 year |
| Penn Spasm Frequency Scale | Scoring 0 to 4; 0 = no spasms; 4 = spasms occurring more than 10 times per hour | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Calculation of validity and reliability index of Muscle Excitability Scale | To determine validity, inter-rater and intra-rater reliability of the Muscle Excitability Scale | through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Spasticity in spinal cord injury
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| Name | Affiliation | Role |
|---|---|---|
| Jiri Kriz, MD, PhD | Spinal Cord Unit, University Hospital, Motol | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Rehabilitation and Sports Medicine, University Hospital Motol | Prague | 150 06 | Czechia | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Kriz J, Hlinkova Z. Muscle excitability scale - a novel tool for evaluation of spastic motor behaviors in spinal cord injury patients. In: Proceedings from the 55th ISCoS Annual Scientific Meeting; September 14-16, 2016; Vienna, Austria. Abstract 186. |
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| ID | Term |
|---|---|
| D009128 | Muscle Spasticity |
| D013119 | Spinal Cord Injuries |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D009122 | Muscle Hypertonia |
| D020879 | Neuromuscular Manifestations |
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| Paraple Center - rehab center for SCI people |
| Prague |
| 150 06 |
| Czechia |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |