Validity and Reliability Study of the Muscle Excitability Scale in Spinal Cord Injury Patients

NCT ID: NCT04266964

Last Updated: 2023-03-14

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 50 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2020-01-02
• Study Completion Date: 2023-02-25

Brief Summary

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.

Detailed Description

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.

Conditions

Spasticity, Muscle; Spinal Cord Injuries

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Interventions

Manual examination

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.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Spasticity in Spinal Cord Injury

Exclusion Criteria

• Parallel brain injury
• Cognitive deficit affecting cooperation
• Acute infection or other sudden complication
• Recent change of antispastic medication

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University Hospital, Motol

OTHER

Sponsor Role: lead

Responsible Party

Assoc. Prof. Jiri Kriz, MD, PhD

Clinical Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Jiri Kriz, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Spinal Cord Unit, University Hospital, Motol

Locations

Department of Rehabilitation and Sports Medicine, University Hospital Motol

Prague, , Czechia

Paraple Center - rehab center for SCI people

Prague, , Czechia

Countries

Czechia

References

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.

Reference Type: BACKGROUND

Other Identifiers

SCI_MES_2019

Identifier Type: -

Identifier Source: org_study_id