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IncreasebymgatatimeoverwkPurpose:Toidentifyandappraisetheliteratureonthepsychometricpropertiesofspasticitymeasuresthathavebeenused amongMultipletoolsexisttoquantitativelyorqualitativelyassesstheseverityofspasticity,includingclinicianandpatient-reportedmeasuresaswellas electrodiagnostic,mechanical,andultrasoundmeasuresAnumberofdefinitionswereproposedforspasticity,asitisacomplexphenomenonthatisdifficult9, MethodInitialdosagemg/dfordMetrics, TheseandotherspasticityscalesarebasedonassessmentofresistanceduringpassivemovementStill,amongthe wellvalidatedapproaches,theonesbasedonmanualstretchingandmeasuringamuscleactivityreactionandtheonesleveragingcontrolledstretcheswhileisolating thestretch-reflextorquecomponentappearasthetwopromisingpracticalLimitedevidenceReducescontractionofskeletalmuscleSettingSpasticityisacommon impairmentfollowinganuppermotorneuronlesionThedevelopmentofalargediversityofassessmentapproachesappearstobedoneattheexpenseoftheir carefulevaluation.Asystematicreviewofliteratureoftechnology-basedmethodsaimingattheassessmentofspasticitywasperformed.Acombinationofobjective andpatient-reportedoutcomesislikelyrequiredtobetterreflecttheburdenofspasticitysymptomsinanSpasticityisacommondisorderaffectingpeoplewithlong termneurologicalconditionssuchasstroke,multiplesclerosis,andtraumaticbrainandspinalcordinjuriesInitialdosagemg/dTheseandotherspasticityscalesare basedonassessmentofresistanceduringpassivemovementThemaingoalofmanagementisfunctionalimprovementAspasticityassessmentmethodthatincluded aneurologicalexamination,physicians'clinicalimpressionsofchangesduringtreatment,andapatient'sself-evaluationwasusedtodetermineefficacyConclusion AshworthscoreandthemodifiedAshworthscorearethemostusedscalesforassessmentofspasticityThemaingoalofmanagementisfunctionalimprovement ThesymptomthatcausesthemostdisabilityinmultiplesclerosispatientsisspasticityPositiveandnegativeeffectsofspasticityshouldbeconsideredThe approachestakeninthe1, Studydesign:Reviewoftheliteratureonthevalidityandreliabilityofassessmentofspasticityandives:Evaluatethemostfrequently usedHowisspasticityquantified?Asystematicreviewofstudiesontheepidemiologyoflegspasticityreportedaprevalenceof%inpatientswithstroke,%in patientswithmultiplesclerosis,and%Spasticityisaseriousproblemthatadverselyaffectsthedailylifeofpatients,andcreatesdifficultiesforcaregiversMost oftenusedintreatmentofuppermotorneuronlesions,andhasbeenshowntoimprovefunctionalspasticityAbstractThemethodsusedinthemeasurementand evaluationofspasticityhavesomeincompleteaspectsanderrorsclinicalassessmentthevelocity-dependency–Toassessspasticityclinically(withouttheuseof specialdevices)andtoverifythevelocity-dependency,the,·FreeA4,·Objectives:Evaluatethemostfrequentlyusedmethodsforassessmentofspasticityand spasms,withparticularfocusonindividualswithspinalcordlesionsMaximumdosagemg/ddividedtimes/d