ارزیابی اسپاستیسیته در بیماران مبتلا به سکته مغزی (مروری سیستماتیک بر مطالعات گذشته)

نوع مقاله : مقاله مروری

نویسندگان

1 دفتر تحقیقات و فن آوری دانشجویان. کارشناس فیزیوتراپی دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی. تهران. ایران

2 استادیار گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی. تهران. ایران

چکیده

مقدمه و اهداف
با توجه به اهمیت اسپاستیسیته در درمان بیماران با ضایعه نورون محرکه فوقانی هدف از این تحقیق ، مروری نظام مند بر مطالعات مرتبط با اندازه گیری و روش های ارزیابی اسپاستیسیتی در بیماران با اختلالات عروقی مغز می باشد تا شاید بتوانیم با توجه به مزایا و معایب هر روش بهترین روش را برای ارزیابی میزان اسپاستیسیتی سفارش نماییم.
مواد و روش­ها
جستجوی مطالعات انجام شده در فاصله زمانی 1995 تا 2013 در منابع اطلاعاتیMdconsult ,Sciencedirect ,Pedro, SID, Pubmed,Ggoogle scholarانجام شد. کلید واژه های اسپاستیسیته، آشورت، همی پلژی، دستگاه های اندازه گیری، سکته مغزی ، ارزیابی مورداستفادهقرارگرفتند. 
نتیجه‌گیری
در کل 69 مقاله که دارای معیار های ورود بودند برگزیده شدند. تفاوت های زیادی میان مقالات از نظر متدلوژی، شاخص های مورد ارزیابی، عضلات مورد بررسی مشاهده گردید. به منظور تشخیص اسپاستی سیته به ترکیب روش های مختلف اندازه گیری اسپاستی سیته نیاز داریم

کلیدواژه‌ها

عنوان مقاله [English]

Assessment of Spasticity in Patients with Stroke (Systematic Review of Literature)

نویسندگان [English]

  • Fereshteh Poursaeed 1
  • Nahid Tahan 2
1 Students’ Research Office, BSc Student of Physitherapy, School of Rehabilitation, Shahid Beheshti University of Medical Scienses, Tehran, Iran
2 Assisstant Professor of Physitherapy, School of Rehabilitation, Shahid Beheshti University of Medical Scienses, Tehran, Iran
چکیده [English]

Background and Aim: Considering the importance of spasticity in the treatment of the patients with upper motor neuron lesion, the present study was conducted to review the studies concerning measuring spasticity assessment and also methods of spasticity assessment in the patients with cerebrovascular accident so as to recommend the best method for assessment of the spasticity according to the advantages and disadvantages of each method.
Materials and Methods: A literature search for the period of 1995-2013 was performed in the databases of PubMed, Mdconsult, Sciencedirect, Pedro, SID, and Google scholar. Also, Spasticity, Ashworth, Hemiplegia, Measurement devices, Stroke, Assessment were used as key words.
Conclusion: Sixty nine articles were selected according to the inclusion criteria of the study. There was a wide variation among studies in terms of methodology, main outcome measures, and muscles that were evaluated. It can thus be suggested that to recognize spasticity, a combination of the different methods of spasticity measurement is required.

کلیدواژه‌ها [English]

  • Spasticity
  • Ashworth
  • Hemiplegia
  • Measurement devices
  • Stroke
  • Assessment

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 5، شماره 1
فروردین و اردیبهشت 1395
صفحه 190-208

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سابقه مقاله

  • تاریخ دریافت: 10 مرداد 1394
  • تاریخ بازنگری: 04 مهر 1394
  • تاریخ پذیرش: 30 مهر 1394
  • تاریخ اولین انتشار: 01 فروردین 1395

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