Prevalência, início, evolução e previsão de espasticidade após AVC
um estudo longitudinal

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.11318

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Publicado: may 29, 2023
Edição: v. 21 n. 2 (2023): Revista Ciencias de la Salud
Seção Artículo de investigación clínica o experimental


Palavras-chave: espasticidade muscular reabilitação fatores de risco acidente vascular cerebral extremidade superior

Conteúdo do artigo principal

Autores

  Paulina Sepulveda
Universidad de La Frontera
  Claudia Rivas
Universidad de La Frontera
  Rodrigo Rivas
Universidad de La Frontera
  José Luis Saiz
Universidad de La Frontera
  Arlette Doussoulin
Universidad de La Frontera

Resumo

Introdução: a espasticidade destaca-se como um dos sinais clínicos positivos mais significativos da síndrome do neurônio motor superior, devido à sua fisiopatologia complexa, e constitui uma característica clínica de grande impacto no campo da neurorreabilitação. Portanto, nosso objetivo foi determinar a prevalência, início, evolução e predição da espasticidade após o acidente vascular cerebral. Materiais e métodos: foi utilizado um desenho correlacional longitudinal. Foram avaliados 136 pacientes: 10 dias (T1), 3 meses (T2) e 12 meses (T3) pós-avc. A avaliação incluiu dados sociodemográficos e clínicos (T1) e o tônus ​​muscular (T1, T2 e T3) foi medido por meio da Escala Modificada de Ashworth. Resultados: a prevalência no cotovelo foi de 37,5% em T1 e 57,4% em T2 e T3. Entre os pacientes com prejuízo motor, o início da espasticidade ocorreu em T1 em 44,7% deles, entre T1 e T2 em 23,7% e entre T2 e T3 em 0,9% dos pacientes. A autoclassificação étnica, o tipo, a área, a extensão do avc e o número de sessões predisseram significativamente as anormalidades do tônus ​​muscular em pelo menos duas ocasiões. Conclusões: o início da espasticidade ocorre durante os primeiros 10 dias após o acidente vascular cerebral. Mais variáveis ​​clínicas do que sociodemográficas previram a espasticidade.

Como Citar
Sepulveda, P., Rivas , C. ., Rivas , R. ., Saiz, J. L. ., & Doussoulin, A. (2023). Prevalência, início, evolução e previsão de espasticidade após AVC: um estudo longitudinal. Revista Ciencias De La Salud, 21(2), 1–19. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.11318
Referências

Mayer N. Spasticity and other signs of the upper motor neuron syndrome. In: Brashear

A, editor. Spasticity, diagnosis and management. New York: Demos Medical Publishing;

p. 17-31.

Li S, Francisco GE. New insights into the pathophysiology of post-stroke spasticity. Frontiers in human neuroscience. 2015;9:192.

Lance JW. The control of muscle tone, reflexes, and movement: Robert Wartenberg Lecture. Neurology. 1980;30(12):1303-13.

Dan B. The end of spasticity? Dev Med Child Neurol. 2017;59(9):882.

Pandyan AD, Gregoric M, Barnes MP, Wood D, Van Wijck F, Burridge J, et al. Spasticity: clinical perceptions, neurological realities and meaningful measurement. Disabil Rehabil. 2005;27(1-2):2-6.

Li S. Spasticity, Motor Recovery, and Neural Plasticity after Stroke. Frontier in Neurology. 2017;8(120).

Sepúlveda P, Bacco, J., Cubillos, C., Doussoulin, A. Espasticidad como signo positivo de daño de motoneurona superior y su importancia en rehabilitación. CES Medicina. 2018;32(3):259-69.

Gracies JM. Pathophysiology of spastic paresis. I: Paresis and soft tissue changes. Muscle Nerve. 2005;31(5):535-51.

Wissel J, Verrier M, Simpson DM, Charles D, Guinto P, Papapetropoulos S, et al. Post-stroke spasticity: predictors of early development and considerations for therapeutic intervention. PM & R: the journal of injury, function, and rehabilitation. 2015;7(1):60-7.

Burke D, Wissel J, Donnan GA. Pathophysiology of spasticity in stroke. Neurology. 2013;80(3 Suppl 2):S20-6.

Sunnerhagen K. Predictors of spasticity after stroke. Curr Phys Med Rehabil Rep. 2016;4:182-85.

Wissel J, Manack A, Brainin M. Toward an epidemiology of poststroke spasticity. Neurology. 2013;80(3 Suppl 2):S13-9.

Lundström E, Smits, A., Terent, A., et al. Time-course and determinants of spasticity during the first six months following first-ever stroke. J Rehabil Med. 2010;42(4):296-301.

Dorňák T JM, Konvalinková R, Říha M, Mužík J, Hoskovcová M. Prevalence and evolution of spasticity in patients suffering from first-ever stroke with carotid origin: a prospective, longitudinal study. European journal of neurology. 2019;26(6):880-6.

Mirbagheri MM, Alibiglou L, Thajchayapong M, Rymer WZ. Muscle and reflex changes with varying joint angle in hemiparetic stroke. Journal of neuroengineering and rehabilitation. 2008;5:6.

Doussoulin A, Rivas, C., Bacco, J., Rivas, R. & Sepúlveda, P. Effects of spasticity on motor recovery after a stroke. Rev Chil Neuro Psiquiat. 2019;57(4):377-86.

Hefter H, Jost WH, Reissig A, Zakine B, Bakheit AM, Wissel J. Classification of posture in poststroke upper limb spasticity: a potential decision tool for botulinum toxin A treatment? Int J Rehabil Res. 2012;35(3):227-33.

Friden J, Lieber RL. Spastic muscle cells are shorter and stiffer than normal cells. Muscle Nerve. 2003;27(2):157-64.

Wissel J, Schelosky LD, Scott J, Christe W, Faiss JH, Mueller J. Early development of spasticity following stroke: a prospective, observational trial. J Neurol. 2010;257(7):1067-72.

Wei TS, Liu PT, Chang LW, Liu SY. Gait asymmetry, ankle spasticity, and depression as independent predictors of falls in ambulatory stroke patients. Plos One. 2017;12(5):e0177136.

Tedesco Triccas L, Kennedy N, Smith T, Pomeroy V. Predictors of upper limb spasticity after stroke? A systematic review and meta-analysis. Physiotherapy. 2019;105(2):163-73.

Gomez-Soriano J C-d-l-CR, Munoz-Hellin E, Ortiz-Gutierrez R, Taylor J. Evaluation and quantification of spasticity: a review of the clinical, biomechanical and neurophysiological methods. Rev Neurol. 2012;55(4):217-26.

Bernhardt J, group AC. Response to letter: And yet it moves - AVERT enlightens translations stroke research. Int J Stroke. 2017;12(9):NP14-NP5.

Lundström E, Terent, A., Borg, J. Prevalence of disabling spasticity 1 year after first-ever stroke. Eur J Neurol. 2008;15(6):533-39.

Lieber RL, Runesson E, Einarsson F, Friden J. Inferior mechanical properties of spastic muscle bundles due to hypertrophic but compromised extracellular matrix material. Muscle Nerve. 2003;28(4):464-71.

Sunnerhagen K. OAMM. Onset, time course and prediction of spasticity after stroke or traumatic brain injury. Ann Phys Rehabil Med. 2019;62(6):431-4.

Thilmann AF, Fellows SJ, Garms E. The mechanism of spastic muscle hypertonus. Variation in reflex gain over the time course of spasticity. Brain. 1991;114 (Pt 1A):233-44.

Barber PA, Demchuk AM, Zhang J, Buchan AM. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS Study Group. Alberta Stroke Programme Early CT Score. Lancet. 2000;355(9216):1670-4.

Nagel S, Sinha D, Day D, Reith W, Chapot R, Papanagiotou P, et al. e-ASPECTS software is non-inferior to neuroradiologists in applying the ASPECT score to computed tomography scans of acute ischemic stroke patients. Int J Stroke. 2017;12(6):615-22.

Bamford J, Sandercock P, Dennis M, Burn J, Warlow C. Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet. 1991;337(8756):1521-6.

Mead GE, Lewis SC, Wardlaw JM, Dennis MS, Warlow CP. How well does the Oxfordshire community stroke project classification predict the site and size of the infarct on brain imaging? J Neurol Neurosurg Psychiatry. 2000;68(5):558-62.

Agredo C, Bedoya, J. Validación Escala Modificada de Ashworth

http://wwwefisioterapianet/info/colaboradoresphp [Internet]. 2005 Mayo 2010.

Platz T, Eickhof C, Nuyens G, Vuadens P. Clinical scales for the assessment of spasticity, associated phenomena, and function: a systematic review of the literature. Disabil Rehabil. 2005;27(1-2):7-18.

Charalambous C. Interrater Reliability of a Modified Ashworth Scale of Muscle Spasticity. In: Banaszkiewicz P. KD, editor. Classic Papers in Orthopaedics. London: Springer; 2014.

Kong KH, Lee J, Chua KS. Occurrence and temporal evolution of upper limb spasticity in stroke patients admitted to a rehabilitation unit. Arch Phys Med Rehabil. 2012;93(1):143-8.

Brainin M, Norrving B, Sunnerhagen KS, Goldstein LB, Cramer SC, Donnan GA, et al. Poststroke chronic disease management: towards improved identification and interventions for poststroke spasticity-related complications. Int J Stroke. 2011;6(1):42-6.

Yelnik AP, Simon O, Parratte B, Gracies JM. How to clinically assess and treat muscle overactivity in spastic paresis. J Rehabil Med. 2010;42(9):801-7.

Leathley MJ, Gregson JM, Moore AP, Smith TL, Sharma AK, Watkins CL. Predicting spasticity after stroke in those surviving to 12 months. Clin Rehabil. 2004;18(4):438-43.

Kong KH, Lee J, Chua KS. Occurrence and temporal evolution of upper limb spasticity in stroke patients admitted to a rehabilitation unit. Archives of physical medicine and rehabilitation. 2012;93(1):143-8.

Dorňák T, Justanová M, Konvalinková R, Říha M, Mužík J, Hoskovcová M, et al. Prevalence and evolution of spasticity in patients suffering from first-ever stroke with carotid origin: a prospective, longitudinal study. European journal of neurology. 2019;26(6):880-6.

Bhakta BB. Management of spasticity in stroke. British medical bulletin. 2000;56(2):476-85.

Burke D, Wissel J, Donnan GA. Pathophysiology of spasticity in stroke. Neurology. 2013;80(3 Suppl 2):S20-S6.

Welmer AK, von Arbin M, Widen Holmqvist L, Sommerfeld DK. Spasticity and its association with functioning and health-related quality of life 18 months after stroke. Cerebrovasc Dis. 2006;21(4):247-53.

Galiana L, Fung J, Kearney R. Identification of intrinsic and reflex ankle stiffness components in stroke patients. Exp Brain Res. 2005;165(4):422-34.

Trompetto C, Marinelli L, Mori L, Pelosin E, Curra A, Molfetta L, et al. Pathophysiology of spasticity: implications for neurorehabilitation. BioMed research international. 2014;2014:354906.

Schinwelski MJ, Sitek EJ, Waz P, Slawek JW. Prevalence and predictors of post-stroke spasticity and its impact on daily living and quality of life. Neurologia i neurochirurgia polska. 2019;53(6):449-57.

Trimble B, Morgenstern LB. Stroke in minorities. Neurologic clinics. 2008;26(4):1177-90, xi.

Pathak EB, Sloan MA. Recent racial/ethnic disparities in stroke hospitalizations and outcomes for young adults in Florida, 2001-2006. Neuroepidemiology. 2009;32(4):302-11.

Estadísticas. INd. Resultados Censo 2017. Chile: Gobierno de Chile; 2017 [Available from: http://www.censo2017.cl/wpcontent/uploads/2018/05/presentacion_de_la_segunda_entrega_de_resultados_censo2017.pdf.

Doussoulin A, Rivas R, Sabelle C. [Hospital discharges due to stroke in the period 2001-2010 in a southern Chilean region]. Rev Med Chil. 2016;144(5):571-6.

Navarrete CC, R. Prevalencia de hipertensión arterial en comunidades Pehuenches del Alto Bio Bio. Revista Chilena Cardiología. 2012;31(2):102-07.

Lavados PM, Diaz V, Jadue L, Olavarria VV, Carcamo DA, Delgado I. Socioeconomic and cardiovascular variables explaining regional variations in stroke mortality in Chile: an ecological study. Neuroepidemiology. 2011;37(1):45-51.

Perez F, Carrasco E, Santos JL, Calvillan M, Albala C. Prevalence of obesity, hypertension and dyslipidemia in rural aboriginal groups in Chile. Rev Med Chil. 1999;127(10):1169-75.

Soto A, Morales G, Provoste R, Lanas F, Aliaga I, Pacheco D, et al. Association between Mapuche Ethnicity and Stroke: A Case-Control Study. J Stroke Cerebrovasc Dis. 2019;28(5):1311-6.

Cha E. KS, Lee H., Kim D., Lee J., Sohn M., Lee S., Oh G., Lee Y., Joo M., Han E., Han J., Chang W., Shin Y. & Kim Y. Prevalence Rate of Spasticity at 3 Months after Stroke in Korea: The Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) Study. Brain Neurorehabil. 2016;9(2).

Katoozian L, Tahan N, Zoghi M, Bakhshayesh B. The Onset and Frequency of Spasticity After First Ever Stroke. Journal of the National Medical Association. 2018;110(6):547-52.

Opheim A, Danielsson, A., Murphy, M., et al. Early prediction of long-term upper limb spasticity after stroke: Part of the SALGOT study. Neurology. 2015;85(10):873-80.

Lee KB, Hong BY, Kim JS, Sul B, Yoon SC, Ji EK, et al. Which brain lesions produce spasticity? An observational study on 45 stroke patients. Plos One. 2019;14(1):e0210038.

Picelli A, Tamburin S, Gajofatto F, Zanette G, Praitano M, Saltuari L, et al. Association between severe upper limb spasticity and brain lesion location in stroke patients. BioMed research international. 2014;2014:162754.

Cheung DK, Climans SA, Black SE, Gao F, Szilagyi GM, Mochizuki G. Lesion Characteristics of Individuals With Upper Limb Spasticity After Stroke. Neurorehabil Neural Repair. 2016;30(1):63-70.

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