Staff View: Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals

Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals

Purpose: To collectively identify the clinical characteristics determining the risk of developing spasticity after stroke. Patients and Methods: A cross-sectional study was conducted at a single rehabilitation outpatient clinic from June to December 2019. Inclusion criteria were stroke duration of o...

Full description

Saved in:

Bibliographic Details
Main Authors:	Fatimah Ahmedy, Nooralisa Mohd Tuah, Natiara Mohamad Hashim, Syahiskandar Sybil Shah, Ismail Ahmedy, Tan, Soo Fun
Format:	Article
Language:	English English
Published:	Dove press 2021
Subjects:	RC346-429 Neurology. Diseases of the nervous system Including speech disorders
Online Access:	https://eprints.ums.edu.my/id/eprint/32833/1/Revisiting%20Spasticity%20After%20Stroke.pdf https://eprints.ums.edu.my/id/eprint/32833/2/Revisiting%20Spasticity%20After%20Stroke1.pdf https://eprints.ums.edu.my/id/eprint/32833/ https://www.dovepress.com/revisiting-spasticity-after-stroke-clustering-clinical-characteristics-peer-reviewed-fulltext-article-JMDH https://doi.org/10.2147/JMDH.S320543
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my.ums.eprints.32833
record_format	eprints
spelling	my.ums.eprints.328332022-06-16T08:12:43Z https://eprints.ums.edu.my/id/eprint/32833/ Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals Fatimah Ahmedy Nooralisa Mohd Tuah Natiara Mohamad Hashim Syahiskandar Sybil Shah Ismail Ahmedy Tan, Soo Fun RC346-429 Neurology. Diseases of the nervous system Including speech disorders Purpose: To collectively identify the clinical characteristics determining the risk of developing spasticity after stroke. Patients and Methods: A cross-sectional study was conducted at a single rehabilitation outpatient clinic from June to December 2019. Inclusion criteria were stroke duration of over four weeks, aged 18 years and above. Exclusion criteria were presence of concurrent conditions other than stroke that could also lead to spasticity. Recruited patients were divided into “Spasticity” and “No spasticity” groups. Univariate analysis was deployed to identify significant predictive spasticity factors between the two groups followed by a two-step clustering approach for determining group of characteristics that collectively contributes to the risk of developing spasticity in the “Spasticity” group. Results: A total of 216 post-stroke participants were recruited. The duration after stroke (p < 0.001) and the absence of hemisensory loss (p = 0.042) were two significant factors in the “Spasticity” group revealed by the univariate analysis. From a total of 98 participants with spasticity, the largest cluster of individuals (40 patients, 40.8%) was those within less than 20 months after stroke with moderate stroke and absence of hemisensory loss, while the smallest cluster was those within less than 20 months after severe stroke and absence of hemisensory loss (21 patients, 21.4%). Conclusion: Analyzing collectively the significant factors of developing spasticity may have the potential to be more clinically relevant in a heterogeneous post-stroke population that may assist in the spasticity management and treatment. Dove press 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/32833/1/Revisiting%20Spasticity%20After%20Stroke.pdf text en https://eprints.ums.edu.my/id/eprint/32833/2/Revisiting%20Spasticity%20After%20Stroke1.pdf Fatimah Ahmedy and Nooralisa Mohd Tuah and Natiara Mohamad Hashim and Syahiskandar Sybil Shah and Ismail Ahmedy and Tan, Soo Fun (2021) Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals. Journal of Multidisciplinary Healthcare, 14. pp. 2391-2396. ISSN 1178-2390 https://www.dovepress.com/revisiting-spasticity-after-stroke-clustering-clinical-characteristics-peer-reviewed-fulltext-article-JMDH https://doi.org/10.2147/JMDH.S320543
institution	Universiti Malaysia Sabah
building	UMS Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaysia Sabah
content_source	UMS Institutional Repository
url_provider	http://eprints.ums.edu.my/
language	English English
topic	RC346-429 Neurology. Diseases of the nervous system Including speech disorders
spellingShingle	RC346-429 Neurology. Diseases of the nervous system Including speech disorders Fatimah Ahmedy Nooralisa Mohd Tuah Natiara Mohamad Hashim Syahiskandar Sybil Shah Ismail Ahmedy Tan, Soo Fun Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals
description	Purpose: To collectively identify the clinical characteristics determining the risk of developing spasticity after stroke. Patients and Methods: A cross-sectional study was conducted at a single rehabilitation outpatient clinic from June to December 2019. Inclusion criteria were stroke duration of over four weeks, aged 18 years and above. Exclusion criteria were presence of concurrent conditions other than stroke that could also lead to spasticity. Recruited patients were divided into “Spasticity” and “No spasticity” groups. Univariate analysis was deployed to identify significant predictive spasticity factors between the two groups followed by a two-step clustering approach for determining group of characteristics that collectively contributes to the risk of developing spasticity in the “Spasticity” group. Results: A total of 216 post-stroke participants were recruited. The duration after stroke (p < 0.001) and the absence of hemisensory loss (p = 0.042) were two significant factors in the “Spasticity” group revealed by the univariate analysis. From a total of 98 participants with spasticity, the largest cluster of individuals (40 patients, 40.8%) was those within less than 20 months after stroke with moderate stroke and absence of hemisensory loss, while the smallest cluster was those within less than 20 months after severe stroke and absence of hemisensory loss (21 patients, 21.4%). Conclusion: Analyzing collectively the significant factors of developing spasticity may have the potential to be more clinically relevant in a heterogeneous post-stroke population that may assist in the spasticity management and treatment.
format	Article
author	Fatimah Ahmedy Nooralisa Mohd Tuah Natiara Mohamad Hashim Syahiskandar Sybil Shah Ismail Ahmedy Tan, Soo Fun
author_facet	Fatimah Ahmedy Nooralisa Mohd Tuah Natiara Mohamad Hashim Syahiskandar Sybil Shah Ismail Ahmedy Tan, Soo Fun
author_sort	Fatimah Ahmedy
title	Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals
title_short	Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals
title_full	Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals
title_fullStr	Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals
title_full_unstemmed	Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals
title_sort	revisiting spasticity after stroke: clustering clinical characteristics for identifying at-risk individuals
publisher	Dove press
publishDate	2021
url	https://eprints.ums.edu.my/id/eprint/32833/1/Revisiting%20Spasticity%20After%20Stroke.pdf https://eprints.ums.edu.my/id/eprint/32833/2/Revisiting%20Spasticity%20After%20Stroke1.pdf https://eprints.ums.edu.my/id/eprint/32833/ https://www.dovepress.com/revisiting-spasticity-after-stroke-clustering-clinical-characteristics-peer-reviewed-fulltext-article-JMDH https://doi.org/10.2147/JMDH.S320543
_version_	1760231080696217600
score	13.211869

Revisiting Spasticity After Stroke: Clustering Clinical Characteristics for Identifying At-Risk Individuals

Similar Items