Ankle plantarflexor spasticity is not differentially disabling for those who are weak following traumatic brain injury

Gavin Williams, Megan Banky, Dean McKenzie, John Olver

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Primary objectives: The main aim of this study was to determine whether the presence of distal lower-limb spasticity had a greater impact on mobility for those who had greater levels of muscle paresis following traumatic brain injury (TBI). Research design: This was a cross-sectional cohort study of convenience. Seventy-five people attending physiotherapy for mobility limitations following TBI participated in this study. All participants had sustained a moderate–severe TBI and were grouped according to the presence or absence of ankle plantarflexor spasticity for comparison. Main outcomes and results: The primary outcome measure for mobility was self-selected walking speed and the primary outcome measure for muscle strength was hand-held dynamometry. Secondary outcome measures for mobility and muscle strength were the High-level Mobility Assessment Tool (HiMAT) and ankle power generation (APG) at push-off. Spasticity was quantified with the Modified Tardieu scale. Participants with ankle plantarflexor spasticity (Group 2) had slower self-selected walking speeds. There was no statistically significant effect for Group and plantarflexor strength (p = 0.81). Conclusion: Although participants with ankle plantarflexor spasticity walked significantly slower than those without, the presence of ankle plantarflexor spasticity did not lead to greater mobility limitations for those who were weak.

Original languageEnglish
Pages (from-to)193-198
Number of pages6
JournalBrain Injury
Volume31
Issue number2
DOIs
Publication statusPublished - 28 Jan 2017
Externally publishedYes

Keywords

  • Ankle power generation
  • gait
  • mobility limitation
  • muscle spasticity
  • muscle weakness
  • traumatic brain injury

Cite this

@article{31037901f7d84a07958f9051d341a983,
title = "Ankle plantarflexor spasticity is not differentially disabling for those who are weak following traumatic brain injury",
abstract = "Primary objectives: The main aim of this study was to determine whether the presence of distal lower-limb spasticity had a greater impact on mobility for those who had greater levels of muscle paresis following traumatic brain injury (TBI). Research design: This was a cross-sectional cohort study of convenience. Seventy-five people attending physiotherapy for mobility limitations following TBI participated in this study. All participants had sustained a moderate–severe TBI and were grouped according to the presence or absence of ankle plantarflexor spasticity for comparison. Main outcomes and results: The primary outcome measure for mobility was self-selected walking speed and the primary outcome measure for muscle strength was hand-held dynamometry. Secondary outcome measures for mobility and muscle strength were the High-level Mobility Assessment Tool (HiMAT) and ankle power generation (APG) at push-off. Spasticity was quantified with the Modified Tardieu scale. Participants with ankle plantarflexor spasticity (Group 2) had slower self-selected walking speeds. There was no statistically significant effect for Group and plantarflexor strength (p = 0.81). Conclusion: Although participants with ankle plantarflexor spasticity walked significantly slower than those without, the presence of ankle plantarflexor spasticity did not lead to greater mobility limitations for those who were weak.",
keywords = "Ankle power generation, gait, mobility limitation, muscle spasticity, muscle weakness, traumatic brain injury",
author = "Gavin Williams and Megan Banky and Dean McKenzie and John Olver",
year = "2017",
month = "1",
day = "28",
doi = "10.1080/02699052.2016.1218548",
language = "English",
volume = "31",
pages = "193--198",
journal = "Brain Injury",
issn = "0269-9052",
publisher = "Taylor & Francis",
number = "2",

}

Ankle plantarflexor spasticity is not differentially disabling for those who are weak following traumatic brain injury. / Williams, Gavin; Banky, Megan; McKenzie, Dean; Olver, John.

In: Brain Injury, Vol. 31, No. 2, 28.01.2017, p. 193-198.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Ankle plantarflexor spasticity is not differentially disabling for those who are weak following traumatic brain injury

AU - Williams, Gavin

AU - Banky, Megan

AU - McKenzie, Dean

AU - Olver, John

PY - 2017/1/28

Y1 - 2017/1/28

N2 - Primary objectives: The main aim of this study was to determine whether the presence of distal lower-limb spasticity had a greater impact on mobility for those who had greater levels of muscle paresis following traumatic brain injury (TBI). Research design: This was a cross-sectional cohort study of convenience. Seventy-five people attending physiotherapy for mobility limitations following TBI participated in this study. All participants had sustained a moderate–severe TBI and were grouped according to the presence or absence of ankle plantarflexor spasticity for comparison. Main outcomes and results: The primary outcome measure for mobility was self-selected walking speed and the primary outcome measure for muscle strength was hand-held dynamometry. Secondary outcome measures for mobility and muscle strength were the High-level Mobility Assessment Tool (HiMAT) and ankle power generation (APG) at push-off. Spasticity was quantified with the Modified Tardieu scale. Participants with ankle plantarflexor spasticity (Group 2) had slower self-selected walking speeds. There was no statistically significant effect for Group and plantarflexor strength (p = 0.81). Conclusion: Although participants with ankle plantarflexor spasticity walked significantly slower than those without, the presence of ankle plantarflexor spasticity did not lead to greater mobility limitations for those who were weak.

AB - Primary objectives: The main aim of this study was to determine whether the presence of distal lower-limb spasticity had a greater impact on mobility for those who had greater levels of muscle paresis following traumatic brain injury (TBI). Research design: This was a cross-sectional cohort study of convenience. Seventy-five people attending physiotherapy for mobility limitations following TBI participated in this study. All participants had sustained a moderate–severe TBI and were grouped according to the presence or absence of ankle plantarflexor spasticity for comparison. Main outcomes and results: The primary outcome measure for mobility was self-selected walking speed and the primary outcome measure for muscle strength was hand-held dynamometry. Secondary outcome measures for mobility and muscle strength were the High-level Mobility Assessment Tool (HiMAT) and ankle power generation (APG) at push-off. Spasticity was quantified with the Modified Tardieu scale. Participants with ankle plantarflexor spasticity (Group 2) had slower self-selected walking speeds. There was no statistically significant effect for Group and plantarflexor strength (p = 0.81). Conclusion: Although participants with ankle plantarflexor spasticity walked significantly slower than those without, the presence of ankle plantarflexor spasticity did not lead to greater mobility limitations for those who were weak.

KW - Ankle power generation

KW - gait

KW - mobility limitation

KW - muscle spasticity

KW - muscle weakness

KW - traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=84996636613&partnerID=8YFLogxK

U2 - 10.1080/02699052.2016.1218548

DO - 10.1080/02699052.2016.1218548

M3 - Article

VL - 31

SP - 193

EP - 198

JO - Brain Injury

JF - Brain Injury

SN - 0269-9052

IS - 2

ER -