Prevalence and Treatment Characteristics of Spastic Hypertonia on First-Time Admission to Acute Inpatient Rehabilitation

Objective: The aim of the study was to report the prevalence of spasticity and treatment patterns during first-time admission to inpatient rehabilitation after acute stroke, traumatic brain injury, and spinal cord injury.

Design: This is a retrospective cohort study.

Methods: A review of 285 adult patients consecutively admitted to inpatient rehabilitation was conducted. Patients with a history of spasticity and inpatient rehabilitation course and those younger than 18 yrs were excluded. Main outcome measures are as follows: admitting diagnosis, length of stay, time from injury to admission, acute transfer rate, prevalence and severity of spasticity using Modified Ashworth Scale at admission and discharge, Functional Independence Measure scores at admission and discharge, Functional Independence Measure efficiency, and treatments for spasticity.

Results: Stroke patients had the highest prevalence of spasticity: 68% on admission and 50% at discharge. In traumatic brain injury, spasticity prevalence was 55% on admission and 30% at discharge. In spinal cord injury, spasticity prevalence was 48% on admission and 46% at discharge. Patients with spinal cord injury received the most medications to control spasticity, whereas those with traumatic brain injury and stroke received the most procedural interventions.

Conclusions: Spasticity is a common sequela of upper motor neuron injury for patients admitted to inpatient rehabilitation. Early recognition and management are essential to prevent contractures, minimize pain, and maximize functional recovery.

This is a pre-copyedited, author-produced version of an article accepted for publication in American Journal of Physical Medicine & Rehabilitation. The published version of record [Prevalence and Treatment Characteristics of Spastic Hypertonia on First-Time Admission to Acute Inpatient Rehabilitation. American Journal of Physical Medicine & Rehabilitation 101, 4 p348-352 (2022)] is available online at: 10.1097/PHM.0000000000001823.

Files

Metadata

Work Title Prevalence and Treatment Characteristics of Spastic Hypertonia on First-Time Admission to Acute Inpatient Rehabilitation
Access
Open Access
Creators
  1. Nikola Dragojlovic
  2. Natasha L. Romanoski
  3. Monica Verduzco-Gutierrez
  4. Gerard E. Francisco
Keyword
  1. Spasticity
  2. Prevalence
  3. Inpatient rehabilitation
  4. Treatment
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. American Journal of Physical Medicine and Rehabilitation
Publication Date April 2022
Publisher Identifier (DOI)
  1. https://doi.org/10.1097/PHM.0000000000001823
Deposited March 22, 2024

Versions

Analytics

Collections

This resource is currently not in any collection.

Work History

Version 1
published

  • Created

    March 22, 2024 08:43 by Researcher Metadata Database

  • Added Prevalence_and_Treatment_Characteristics_of.AJPMR_Romanoski.pdf

    March 22, 2024 08:43 by Researcher Metadata Database

  • Added Creator Nikola Dragojlovic

    March 22, 2024 08:43 by Researcher Metadata Database

  • Added Creator Natasha L. Romanoski

    March 22, 2024 08:43 by Researcher Metadata Database

  • Added Creator Monica Verduzco-Gutierrez

    March 22, 2024 08:43 by Researcher Metadata Database

  • Added Creator Gerard E. Francisco

    March 22, 2024 08:43 by Researcher Metadata Database

  • Published

    March 22, 2024 08:43 by Researcher Metadata Database

  • Updated Keyword, Publisher, Description, and 1 more Show Changes

    March 22, 2024 10:41 by avs5190

    Keyword
    • Spasticity, Prevalence, Inpatient rehabilitation, Treatment
    Publisher
    • American Journal of Physical Medicine
    • American Journal of Physical Medicine and Rehabilitation
    Description
    • <p>Objective The aim of the study was to report the prevalence of spasticity and treatment patterns during first-time admission to inpatient rehabilitation after acute stroke, traumatic brain injury, and spinal cord injury. Design This is a retrospective cohort study. Methods A review of 285 adult patients consecutively admitted to inpatient rehabilitation was conducted. Patients with a history of spasticity and inpatient rehabilitation course and those younger than 18 yrs were excluded. Main outcome measures are as follows: admitting diagnosis, length of stay, time from injury to admission, acute transfer rate, prevalence and severity of spasticity using Modified Ashworth Scale at admission and discharge, Functional Independence Measure scores at admission and discharge, Functional Independence Measure efficiency, and treatments for spasticity. Results Stroke patients had the highest prevalence of spasticity: 68% on admission and 50% at discharge. In traumatic brain injury, spasticity prevalence was 55% on admission and 30% at discharge. In spinal cord injury, spasticity prevalence was 48% on admission and 46% at discharge. Patients with spinal cord injury received the most medications to control spasticity, whereas those with traumatic brain injury and stroke received the most procedural interventions. Conclusions Spasticity is a common sequela of upper motor neuron injury for patients admitted to inpatient rehabilitation. Early recognition and management are essential to prevent contractures, minimize pain, and maximize functional recovery.</p>
    • <p>Objective: The aim of the study was to report the prevalence of spasticity and treatment patterns during first-time admission to inpatient rehabilitation after acute stroke, traumatic brain injury, and spinal cord injury.
    • Design: This is a retrospective cohort study.
    • Methods: A review of 285 adult patients consecutively admitted to inpatient rehabilitation was conducted. Patients with a history of spasticity and inpatient rehabilitation course and those younger than 18 yrs were excluded. Main outcome measures are as follows: admitting diagnosis, length of stay, time from injury to admission, acute transfer rate, prevalence and severity of spasticity using Modified Ashworth Scale at admission and discharge, Functional Independence Measure scores at admission and discharge, Functional Independence Measure efficiency, and treatments for spasticity.
    • Results: Stroke patients had the highest prevalence of spasticity: 68% on admission and 50% at discharge. In traumatic brain injury, spasticity prevalence was 55% on admission and 30% at discharge. In spinal cord injury, spasticity prevalence was 48% on admission and 46% at discharge. Patients with spinal cord injury received the most medications to control spasticity, whereas those with traumatic brain injury and stroke received the most procedural interventions.
    • Conclusions: Spasticity is a common sequela of upper motor neuron injury for patients admitted to inpatient rehabilitation. Early recognition and management are essential to prevent contractures, minimize pain, and maximize functional recovery.</p>
    Publication Date
    • 2022-04-01
    • 2022-04
  • Updated Description Show Changes

    March 22, 2024 10:41 by avs5190

    Description
    • <p>Objective: The aim of the study was to report the prevalence of spasticity and treatment patterns during first-time admission to inpatient rehabilitation after acute stroke, traumatic brain injury, and spinal cord injury.
    • Design: This is a retrospective cohort study.
    • Methods: A review of 285 adult patients consecutively admitted to inpatient rehabilitation was conducted. Patients with a history of spasticity and inpatient rehabilitation course and those younger than 18 yrs were excluded. Main outcome measures are as follows: admitting diagnosis, length of stay, time from injury to admission, acute transfer rate, prevalence and severity of spasticity using Modified Ashworth Scale at admission and discharge, Functional Independence Measure scores at admission and discharge, Functional Independence Measure efficiency, and treatments for spasticity.
    • Results: Stroke patients had the highest prevalence of spasticity: 68% on admission and 50% at discharge. In traumatic brain injury, spasticity prevalence was 55% on admission and 30% at discharge. In spinal cord injury, spasticity prevalence was 48% on admission and 46% at discharge. Patients with spinal cord injury received the most medications to control spasticity, whereas those with traumatic brain injury and stroke received the most procedural interventions.
    • Conclusions: Spasticity is a common sequela of upper motor neuron injury for patients admitted to inpatient rehabilitation. Early recognition and management are essential to prevent contractures, minimize pain, and maximize functional recovery.</p>
  • Updated

    April 04, 2024 10:22 by [unknown user]