title: Decrease of hypertonia after continuous passive motion treatment in individuals with spinal cord injury.
abstract: OBJECTIVE
  To examine the effect of ankle continuous passive motion on the reflex excitability and overall hypertonia of calf muscles in individuals with chronic spinal cord injury and without physical disabilities.
  
  
  METHODS
  Two-way repeated measure experimental design.
  
  
  METHODS
  Inpatient rehabilitation department in general hospital.
  
  
  METHODS
  The spinal cord injury group comprised eight individuals with chronic complete spinal cord injury and the control group comprised eight healthy people without physical disabilities. An additional eight healthy people were recruited as the sham group.
  
  
  METHODS
  Each subject received 60 min of continuous passive motion on the ankle joint.
  
  
  METHODS
  The H-reflex of the soleus muscle was elicited by tibia nerve stimulation just before, immediately after, and 10 min after continuous passive motion. The Modified Ashworth Scale (MAS) score at the ankle joint was recorded for the spinal cord injury group just before and 10 min after continuous passive motion therapy. RESULTS. After 60 min of continuous passive motion of the ankle joint, the H-reflex amplitude at the soleus muscle was depressed in individuals with and without spinal cord injury (77.46 +/- 32.64%, P = 0.047 and 51.76 +/- 26.74% of initial, P<0.0001, respectively). This depression persisted up to 10 min after continuous passive motion only in individuals without spinal cord injury. In individuals with spinal cord injury, the median of MAS scores decreased from 2 to 1.25 after continuous passive motion.
  
  
  CONCLUSIONS
  Sixty minutes of continuous passive motion of the ankle joint decreased reflex excitability and overall hypertonia in people with or without spinal cord injury. The depression of overall hypertonia persisted longer than the reflex excitability in people with spinal cord injury.
authors.affiliation: Physical Therapy Department and Graduate Institute of Rehabilitation Science, Chang Gung University, Tao-Yuan, Taiwan. yjchang@mail.cgu.edu.tw
authors.forename: Ya-Ju
authors.initials: YJ
authors.lastname: Chang
authors.forename: Chia-Ying
authors.initials: CY
authors.lastname: Fang
authors.forename: Miao-Ju
authors.initials: MJ
authors.lastname: Hsu
authors.forename: Hen-Yu
authors.initials: HY
authors.lastname: Lien
authors.forename: Mei-Kwan
authors.initials: MK
authors.lastname: Wong
mesh_terms: D000328:Adult; D000843:Ankle Joint; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008297:Male; D015915:Motion Therapy, Continuous Passive / Q000379:methods*; D009122:Muscle Hypertonia / Q000534:rehabilitation*; D012047:Rehabilitation Centers; D013119:Spinal Cord Injuries / Q000534:rehabilitation*