Responsiveness and Change in Functional Mobility Measures According to Ankle Plantar Flexor Spasticity Severity in Subacute Stroke.
Background and Purpose: Ankle plantar flexor spasticity is a common post‐stroke impairment that may influence functional performance and responsiveness. However, descriptive responsiveness patterns across spasticity severity levels remain insufficiently explored. This study aimed to descriptively ex...
| Publicado en: | Physiotherapy Research International Vol. 31; no. 3; pp. 1 - 10 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195655733&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195655733 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Jul2026 vid: 31 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 195655733 195655733 195655733 10.1002/pri.70245 195655733 ppf: 1 ppct: 9 formats: tig: atl: Responsiveness and Change in Functional Mobility Measures According to Ankle Plantar Flexor Spasticity Severity in Subacute Stroke. aug: au: Lee, Jun Min Kim, Eun Joo An, Seung Heun affil: Department of Gait Lab, National Rehabilitation Center, Seoul, South Korea sug: subj: Stroke Physiopathology Physical Mobility Evaluation Ankle Joint Physiopathology Plantarflexion Muscle Spasticity Physiopathology Symptom Burden Muscle Spasticity Rehabilitation Stroke Rehabilitation Treatment Outcomes Functional Assessment Human Male Female Adult Middle Age Aged Aged, 80 and Over Stroke Patients Funding Source Gait Psychometrics Walking Speed Health Care Delivery Descriptive Research Prospective Studies Nonexperimental Studies Scales Clinical Assessment Tools Exercise Test Pretest-Posttest Design Hemiplegia Inpatients Rehabilitation Centers Rehabilitation Patients Stroke Complications Muscle Spasticity Etiology Neuropsychological Tests Task Performance and Analysis Descriptive Statistics Data Analysis Software One-Way Analysis of Variance Post Hoc Analysis Comparative Studies Confidence Intervals Intraclass Correlation Coefficient Range of Motion Dorsiflexion Muscle Strength Exploratory Research Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background and Purpose: Ankle plantar flexor spasticity is a common post‐stroke impairment that may influence functional performance and responsiveness. However, descriptive responsiveness patterns across spasticity severity levels remain insufficiently explored. This study aimed to descriptively examine functional changes and responsiveness across ankle plantar flexor spasticity severity categories in individuals with subacute stroke. Methods: In this prospective observational cohort study with a 4‐week follow‐up, 58 participants were categorized based on ankle plantar flexor spasticity severity using Modified Ashworth Scale (MAS) scores (MAS = 0, MAS = 1–1+, and MAS ≥ 2). Functional performance was assessed using the 10‐M Walk Test (10 mWT), 6‐Minute Walk Test (6 MWT), Timed Up and Go (TUG), 5‐Times Sit‐to‐Stand Test (5‐Times STS), Figure‐of‐8 Walk Test (F8WT), and Four Square Step Test (FSST) at baseline and after 4 weeks. Responsiveness was quantified using effect size (ES) and standardized response mean (SRM), and subgroup findings were descriptively examined across MAS categories. Results: All outcome measures showed changes over 4 weeks, with moderate‐to‐large responsiveness observed across tests. Responsiveness estimates appeared numerically greater in the MAS = 0 subgroup, whereas more variable estimates were observed in participants with spasticity (MAS ≥ 1). Similar patterns were observed across gait‐related and functional mobility measures. Conclusion: Responsiveness estimates varied across spasticity levels, suggesting that responsiveness, as a measurement property, may differ according to impairment severity. These findings provide preliminary descriptive information regarding responsiveness across spasticity severity categories. Given the exploratory design and descriptive subgroup analyses, the findings should be interpreted cautiously. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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