Quantitative measurement of spasticity in children with cerebral palsy

Dev Med Child Neurol. 1991 Jul;33(7):585-95. doi: 10.1111/j.1469-8749.1991.tb14928.x.

Abstract

Spasticity was quantified in nine children with spastic diplegia, using a sinusoidal displacement of the foot at frequencies from 3 to 12Hz. Ankle-joint stiffness was separated into elastic (energy-storing) and viscous (energy-dissipating) components. 'Path length' was used to represent the variation in stiffness over this frequency range. Compared with 11 unaffected children, a significant difference in path lengths was demonstrated for the children with spasticity. An age-dependent effect was demonstrated when path lengths of unaffected children were compared with those of 10 unaffected adults. A modified path-length measure is proposed which minimizes age dependency, yet enables detection of spasticity. Passive stiffness properties of unaffected adults showed higher elastic stiffness, viscosity and friction than unaffected children. A method was developed to evade the need for temporary nerve blocks to calculate inerital properties of the foot in persons with spasticity.

MeSH terms

  • Biomechanical Phenomena
  • Cerebral Palsy / diagnosis*
  • Cerebral Palsy / physiopathology
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Motor Neurons / physiology
  • Muscle Spasticity / diagnosis*
  • Muscle Spasticity / physiopathology
  • Muscles / innervation
  • Neurologic Examination / instrumentation*
  • Range of Motion, Articular / physiology
  • Reflex, Abnormal / physiology
  • Reflex, Stretch / physiology
  • Signal Processing, Computer-Assisted / instrumentation*