Differences in the Degree of Spasticity in Post-Haemorrhagic and Non-Haemorrhagic Stroke Patients Based on the Modified Ashworth Scale
DOI:
https://doi.org/10.36408/mhjcm.v11i3.1137Keywords:
Haemorrhagic Stroke, Non-Haemorrhagic Modified Ashworth Scale, Stroke, SpasticityAbstract
Background : Stroke is a brain function disorder caused by vascular disturbances with manifestations ranging from paralysis to death. Stroke is a health issue with high incidence and mortality rates. Furthermore, post-stroke patients can experience various residual symptoms such as spasticity, which can lead to decreased productivity and socio- economic impacts. Spasticity is a common symptom in stroke survivors, with a prevalence ranging from 30% to 80%. This symptom typically appears several weeks after a stroke and can persist for up to 12 months, causing reduced productivity and socio-economic challenges. Hemorrhagic strokes result from blood vessel rupture, while non- hemorrhagic strokes are caused by ischemia. Both types can damage motor pathways, leading to spasticity. Understanding the differences in spasticity severity between stroke types may guide targeted rehabilitation strategies. The aimsof ths study was to determine the difference in the degree of spasticity in post-stroke patients between hemorrhagic and non-hemorrhagic strokes based on the Modified Ashworth Scale.
Methods : An analytical observational study with a cross-sectional design was conducted. The study included 33 post-hemorrhagic stroke patients and 33 post-non- hemorrhagic stroke patients. The degree of spasticity was measured using the Modified Ashworth Scale. Statistical analysis was performed using the Chi-Square test.
Results : The Chi-Square test for the variable "stroke type" and "degree of spasticity" yielded a p-value of 0.428 (p > 0.05). The Chi-Square test is considered significant when the p-value is < 0.05.
Conclusion : There is no difference in the degree of spasticity
Downloads
References
1. Sutarwi S, Bakhtiar Y, Rochana N. Sensitivitas dan Spesifitas Skor Stroke Literature Gaster 2020; 18: 186–193.
2. Syafni AN. Post Stroke Patient Medical Rehabilitation. J Ilm Kesehat Sandi Husada 2020; 9: 873–877.
3. Jojang H, Runtuwene T, P.s JM. Perbandingan NIHSS pada pasien stroke hemoragik dan non-hemoragik yang rawat inap di Bagian Neurologi RSUP Prof. Dr. R. D. Kandou Manado. E- C l i n ; 4 . E p u b a h e a d o f p r i n t 3 M a y 2 0 1 6 . https://doi.org/10.35790/ecl.v4i1.12111.
4. Ghani L, Mihardja LK, Delima D. Faktor Risiko Dominan Penderita Stroke di Indonesia. Bul Penelit Kesehat 2016; 44: 49–58.
5. Susilawati F, Sk N. Faktor Resiko Kejadian Stroke. J Ilm Keperawatan Sai Betik 2018; 14: 41–48.
6. Handayani F. Pengetahuan tentang Stroke, Faktor Risiko, Tanda Peringatan Stroke, dan Respon Mencari Bantuan pada Pasien Stroke Iskemik. J Ilmu Keperawatan Med Bedah 2019; 2: 12–21.
7. Aziz MN, Arin Supriyadi SF. Pengaruh Proprioceptive Neuromuscular Facilitation Techniques Terhadap Penurunan Spastisitas Otot Pasien Stroke: A Critical Review. S1, Universitas Muhammadiyah Surakarta, http://eprints.ums.ac.id/91145/ (2021, accessed 14 February 2023).
8. Syatibi MM, Suhardi Manipulasi Organ Golgi Tendon Untuk Mengurangi Tingkat Spastisitas Otot-otot Penggerak Lengan Pasca Stroke Infark. J KETERAPIAN Fis; 1.
9. Platz T. Clinical Pathways in Stroke Rehabilitation. Greifswald: Neurorehabilitation Research Group, 2021.
10. Kuo C-L, Hu G-C. Post-stroke Spasticity: A Review of Epidemiology, Pathophysiology, and Int J Gerontol 2018; 12: 280–284.
11. Hubungan Derajat Spastisitas Maksimal Berdasarkan Modified Ashworth Scale dengan Gangguan Fungsi Berjalan Pada Penderita Stroke Iskemik. Diponegoro University, 2008.
12. Doussoulin A, Rivas C, Bacco J, et al. Prevalence of Spasticity and Postural Patterns in the Upper Extremity Post Stroke. J Stroke Cerebrovasc Dis 2020; 29:
13. Wahyudin W, W A. Pengaruh Pemberian PNF Terhadap Kekuatan Fungsi Prehension pada Pasien Stroke Hemoragik dan Non-Hemoragik. Fisioter J Ilm Fisioter; 8. Epub ahead of print https://doi.org/10.47007/fisio.v8i1.611.
14. Meseguer-Henarejos A-B, Sánchez-Meca J, López-Pina J-A, et al. Inter- and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis. Eur J Phys Rehabil Med 2018; 54: 576–590.
15. Zeng H, Chen J, Guo Y, et al. Prevalence and Risk Factors for Spasticity After Stroke: A Systematic Review and Meta- Analysis. Front Neurol 2021; 11: 616097.
16. Katoozian L, Tahan N, Zoghi M, et al. The Onset and Frequency of Spasticity After First Ever J Natl Med Assoc 2018; 110: 547–552.
17. Schinwelski MJ, Sitek EJ, Wąż P, et al. Prevalence and predictors of post-stroke spasticity and its impact on daily living and quality of Neurol Neurochir Pol 2019; 53: 449–457.
18. Cheung DK, Climans SA, Black SE, et al. Lesion Characteristics of Individuals With Upper Limb Spasticity After Stroke. Neurorehabil Neural Repair 2016; 30: 63–70
Additional Files
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2024 Ifandias Gian Abhista (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyrights Notice
Copyrights:
Researchers publishing manuscrips at Medica Hospitalis: Journal of Clinical Medicine agree with regulations as follow:
Copyrights of each article belong to researchers, and it is likewise the patent rights
Researchers admit that Medica Hospitalia: Journal of Clinical Medicine has the right of first publication
Researchers may submit manuscripts separately, manage non exclusive distribution of published manuscripts into other versions (such as: being sent to researchers’ institutional repository, publication in the books, etc), admitting that manuscripts have been firstly published at Medica Hospitalia: Journal of Clinical Medicine
License:
Medica Hospitalia: Journal of Clinical Medicine is disseminated based on provisions of Creative Common Attribution-Share Alike 4.0 Internasional It allows individuals to duplicate and disseminate manuscripts in any formats, to alter, compose and make derivatives of manuscripts for any purpose. You are not allowed to use manuscripts for commercial purposes. You should properly acknowledge, reference links, and state that alterations have been made. You can do so in proper ways, but it does not hint that the licensors support you or your usage.
