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Prevalence Rate of Spasticity at 3 Months after Stroke in Korea: The Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) Study

 Eun Gyeom Cha  ;  Soo-Yeon Kim  ;  Hae In Lee  ;  Deog Young Kim  ;  Jongmin Lee  ;  Min Kyun Sohn  ;  Sam-Gyu Lee  ;  Gyung-Jae Oh  ;  Yang-Soo Lee  ;  Min Cheol Joo  ;  Eun Young Han  ;  Junhee Han  ;  Won Hyuk Chang  ;  Yong-Il Shin  ;  Yun-Hee Kim 
 Brain & Neurorehabilitation, Vol.9(2) : 6, 2016 
Journal Title
 Brain & Neurorehabilitation 
Issue Date
Spasticity ; Stroke ; Prevalence ; Modified Ashworth Scale
The aim of this study was to investigate prevalence and risk factors associated with spasticity at 3 months after a first-ever stroke in Korean patients. This cohort study included consecutive patients with first-ever stroke who were admitted to 9 participated hospitals in different areas of Korea. The Modified Ashworth Scale (MAS), which defines spasticity as MAS > 1 in any of the examined joints was used to assess patients 3 months after stroke occurrence. The prevalence of spasticity was 7.3% (339 of 4,658 patients), 3 months after stroke onset. Spasticity was more frequent in upper extremity (6.7%) than lower extremity (4.3%). Severity of spasticity was as follows: 63.1%: MAS I, 23.3%: MAS I+, 9.4%: MAS II, 2.6%: MAS III, and 1.4%: MAS IV. Stroke type (hemorrhagic) (p < 0.05) were identified as correlated risk factors. Patients with spasticity scored higher with National Institute of Health Stroke Scale (NIHSS) and lower with modified Rankin Scale (mRS) than non-spastic patients (p < 0.001). This study showed 7.3% prevalence of spasticity in Korean first-ever stroke patients at 3 months, and identified those who carried higher risks of developing spasticity who would particularly benefit from preventive or therapeutic strategies. It would contribute to assessing spasticity in patients with first-ever stroke in Korea.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Deog Young(김덕용) ORCID logo https://orcid.org/0000-0001-7622-6311
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