A neurophysiological and clinical study of Brunnstrom recovery stages in the upper limb following stroke

Soofia Naghdi; Noureddin Nakhostin Ansari; Korosh Mansouri; Scott Hasson

doi:10.3109/02699052.2010.506860

A neurophysiological and clinical study of Brunnstrom recovery stages in the upper limb following stroke

Soofia Naghdi, Noureddin Nakhostin Ansari, Korosh Mansouri, Scott Hasson

Research output: Contribution to journal › Article › peer-review

111 Scopus citations

Abstract

Primary objective: To determine the extent to which the Brunnstrom recovery stages of upper limb in hemiparetic stroke patients are correlated to neurophysiological measures and the spasticity measure of Modified Modified Ashworth Scale (MMAS). Research design: A concurrent criterion-related validity study. Interventions: Not applicable. Methods and procedures: Thirty patients (15 men and 15 women; mean ± SD 58.8 ± 11.5 years) with upper limb spasticity after stroke were recruited. Wrist flexor spasticity was rated using the MMAS. The neurophysiological measures were Hslp/Mslp ratio, Hmax/Mmax ratio and Hslp. Main outcomes and results: There was a significant moderate correlation between the Brunnstrom recovery stages and the neurophysiological measures. The Brunnstrom recovery stages were highly correlated to the MMAS scores (r -0.81, p < 0.0001). Conclusions: The Brunnstrom recovery stages are moderately correlated with neurophysiological measures and highly correlated with the MMAS regarding the evaluation of motor recovery in stroke patients. The Brunnstrom recovery stages can be used as a valid test for the assessment of patients with post-stroke hemiplegia.

Original language	English (US)
Pages (from-to)	1372-1378
Number of pages	7
Journal	Brain Injury
Volume	24
Issue number	11
DOIs	https://doi.org/10.3109/02699052.2010.506860
State	Published - Oct 2010
Externally published	Yes

Keywords

H-reflex
Modified Modified Ashworth Scale
The Brunnstrom recovery stages
spasticity

ASJC Scopus subject areas

Neuroscience (miscellaneous)
Developmental and Educational Psychology
Clinical Neurology

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title = "A neurophysiological and clinical study of Brunnstrom recovery stages in the upper limb following stroke",

abstract = "Primary objective: To determine the extent to which the Brunnstrom recovery stages of upper limb in hemiparetic stroke patients are correlated to neurophysiological measures and the spasticity measure of Modified Modified Ashworth Scale (MMAS). Research design: A concurrent criterion-related validity study. Interventions: Not applicable. Methods and procedures: Thirty patients (15 men and 15 women; mean ± SD 58.8 ± 11.5 years) with upper limb spasticity after stroke were recruited. Wrist flexor spasticity was rated using the MMAS. The neurophysiological measures were Hslp/Mslp ratio, Hmax/Mmax ratio and Hslp. Main outcomes and results: There was a significant moderate correlation between the Brunnstrom recovery stages and the neurophysiological measures. The Brunnstrom recovery stages were highly correlated to the MMAS scores (r -0.81, p < 0.0001). Conclusions: The Brunnstrom recovery stages are moderately correlated with neurophysiological measures and highly correlated with the MMAS regarding the evaluation of motor recovery in stroke patients. The Brunnstrom recovery stages can be used as a valid test for the assessment of patients with post-stroke hemiplegia.",

keywords = "H-reflex, Modified Modified Ashworth Scale, The Brunnstrom recovery stages, spasticity",

author = "Soofia Naghdi and Ansari, {Noureddin Nakhostin} and Korosh Mansouri and Scott Hasson",

note = "Funding Information: This research was supported by Tehran University of Medical Sciences and health Services (Grant-87-8263). We would like to thank all patients who participated in this study.",

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AU - Mansouri, Korosh

AU - Hasson, Scott

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N2 - Primary objective: To determine the extent to which the Brunnstrom recovery stages of upper limb in hemiparetic stroke patients are correlated to neurophysiological measures and the spasticity measure of Modified Modified Ashworth Scale (MMAS). Research design: A concurrent criterion-related validity study. Interventions: Not applicable. Methods and procedures: Thirty patients (15 men and 15 women; mean ± SD 58.8 ± 11.5 years) with upper limb spasticity after stroke were recruited. Wrist flexor spasticity was rated using the MMAS. The neurophysiological measures were Hslp/Mslp ratio, Hmax/Mmax ratio and Hslp. Main outcomes and results: There was a significant moderate correlation between the Brunnstrom recovery stages and the neurophysiological measures. The Brunnstrom recovery stages were highly correlated to the MMAS scores (r -0.81, p < 0.0001). Conclusions: The Brunnstrom recovery stages are moderately correlated with neurophysiological measures and highly correlated with the MMAS regarding the evaluation of motor recovery in stroke patients. The Brunnstrom recovery stages can be used as a valid test for the assessment of patients with post-stroke hemiplegia.

AB - Primary objective: To determine the extent to which the Brunnstrom recovery stages of upper limb in hemiparetic stroke patients are correlated to neurophysiological measures and the spasticity measure of Modified Modified Ashworth Scale (MMAS). Research design: A concurrent criterion-related validity study. Interventions: Not applicable. Methods and procedures: Thirty patients (15 men and 15 women; mean ± SD 58.8 ± 11.5 years) with upper limb spasticity after stroke were recruited. Wrist flexor spasticity was rated using the MMAS. The neurophysiological measures were Hslp/Mslp ratio, Hmax/Mmax ratio and Hslp. Main outcomes and results: There was a significant moderate correlation between the Brunnstrom recovery stages and the neurophysiological measures. The Brunnstrom recovery stages were highly correlated to the MMAS scores (r -0.81, p < 0.0001). Conclusions: The Brunnstrom recovery stages are moderately correlated with neurophysiological measures and highly correlated with the MMAS regarding the evaluation of motor recovery in stroke patients. The Brunnstrom recovery stages can be used as a valid test for the assessment of patients with post-stroke hemiplegia.

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A neurophysiological and clinical study of Brunnstrom recovery stages in the upper limb following stroke

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Keywords

ASJC Scopus subject areas

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