Predictive factors for spasticity among ischemic stroke patients.
Spasticity is a determining for functional loss following ischemic stroke.


OBJECTIVE
To detect possible predictive factors for its occurrence.


METHODS
Demographic, clinical and tomographic data on 146 stroke patients were analyzed.


RESULTS
Spasticity was noted more frequently among patients who underwent physiotherapy (p<0.0001; OR=19.4; 95% CI: 4.4-84.5), those who underwent such treatment for long periods (p=0.028; OR=4.80; 95% CI: 1.1-8.3) and those with manual work (p=0.041; OR=2.2; 95% CI: 1.02-4.6), lower income (p=0.038), pain complaints (p<0.0001; OR=107.0; 95% CI: 13.5-847.3), appearance of pain at the same time as spasticity (p<0.0001), previous vascular disease (p=0.001; OR=4.2; 95% CI: 1.7-10.3), muscle weakness (p<0.0001; OR=91.9; 95% CI: 12.0-699.4), extensive lesions as seen on tomography (p=0.01) and lesions affecting more than one cerebral lobe (p=0.018). Manual work had a relative risk of 2.9; previous stroke 3.9, and extensive lesion 3.6.


CONCLUSIONS
Spasticity affected 25% of the patients, and was associated with: manual work, previous stroke, extensive lesions, decrease in individual income, underwent physiotherapy, underwent physiotherapy for longer period, pain complaints, the pain started simultaneously with the spasticity, presented changes in strength.
Moura
Rita de Cássia Dos Reis
Rde C
Department of Emergency Medicine and Evidence-Based Medicine, São Paulo Federal University, São Paulo, SP, Brazil. ritac.moura@uol.com.br
Fukujima
Márcia Maiumi
MM
Aguiar
Alexandre Santos
AS
Fontes
Sissy Veloso
SV
Dauar
Rafi Felício Bauab
RF
Prado
Gilmar Fernandes do
GF
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002545:Brain Ischemia / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009128:Muscle Spasticity / Q000209:etiology*; D012307:Risk Factors; D012959:Socioeconomic Factors; D020521:Stroke / Q000150:complications*