Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, July 10, 2020

Reliability and validity of the Modified Heckmatt scale in evaluating muscle changes with ultrasound in spasticity

Followup needed to see what interventions significantly reduce or cure spasticity now that you can objectively measure spasticity.

WHOM will do the research to answer this simple question?  I want specific names, because NO ONE IN STROKE TAKES RESPONSIBILTY FOR ANYTHING.

 

Reliability and validity of the Modified Heckmatt scale in evaluating muscle changes with ultrasound in spasticity


Under a Creative Commons license
open access


Highlights

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Spasticity can alter muscle architecture as viewed with ultrasound
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Spastic muscles can appear bright termed increased echointensity (EI)
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Spastic muscles with increased EI may respond less favorably to botulinum toxin
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Muscle echointensity can be quantified using a Modified Heckmatt scale
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The Modified Heckmatt scale demonstrated good reliability and validity

ABSTRACT

Objective

To determine the reliability and validity of the Modified Heckmatt scale in assessing muscle echotexture in spasticity.

Design

Prospective, observational, two-center study. Two residents and two ultrasound experienced staff physicians each rated 100 ultrasound images that were also analyzed using quantitative gray scale.

Setting

Academic ambulatory spasticity clinic.

Participants

Fifty participants (45 with upper and/or lower extremity spasticity and 5 healthy references).

Interventions

Not applicable.

Main Outcome Measure(s)

Modified Heckmatt scale ratings and quantitative grayscale scores

Results

Inter- and intra-rater ICCs were 0.76 and 0.81, respectively (p<0.001), indicating good to excellent reliability. A significant relationship was found between Modified Heckmatt scores and quantitative grayscale scores (r = 0.829 (p<0.001)).

Conclusions

The Modified Heckmatt scale demonstrated good reliability and validity to assess pathologic muscle changes that occur in patients with spasticity.

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