Simultaneous Characterizations of Reflex and nonreflex, dynamic and static changes in spastic hemiparesis

I'm sure your doctor can decipher this and apply it to your stroke protocol.
http://jn.physiology.org/content/early/2013/04/27/jn.00573.2012.abstract

Abstract

This study characterizes tonic and phasic stretch-reflex and stiffness and viscosity changes associated with spastic hemiparesis. Perturbations were applied to the ankle of 27 hemiparetic and 36 healthy subjects under relaxed or active contracting conditions. A nonlinear delay differential equation model characterized phasic and tonic stretch-reflex gains, elastic stiffness, and viscous damping. Tendon reflex was characterized with reflex gain and threshold. Reflexively, tonic-reflex gain was increased in spastic ankles at rest (P&lt0.038) and was not regulated with muscle contraction, indicating impaired tonic stretch-reflex. Phasic-reflex gain in spastic plantarflexors was higher and increase faster with plantarflexor contraction (P&lt0.012) than controls (P&lt0.023) and higher in dorsi-flexors at lower torques (P&lt0.038), primarily due to its increase at rest (P=0.045), indicating exaggerated phasic stretch-reflex especially in more spastic plantarflexors which showed higher phasic stretch-reflex gain than dorsi-flexors (P&lt0.032). Spasticity was associated with increased tendon-reflex gain (P=0.002) and decreased threshold (P&lt0.001). Mechanically, stiffness in spastic ankles was higher than that in controls across plantar/dorsi-flexion torque levels (P&lt0.032), and the more spastic plantarflexors were stiffer than dorsi-flexors at comparable torques (P&lt0.031). Increased stiffness in spastic ankles was mainly due to passive stiffness increase (P&lt0.001), indicating increased connective tissues/shortened fascicles. Viscous damping in spastic ankles was increased across the plantar flexion torque levels and at lower dorsi-flexion torques, reflecting increased passive viscous damping (P=0.033). The more spastic plantar flexors showed higher viscous damping than dorsi-flexors at comparable torque levels (P&lt0.047). Simultaneous characterizations of reflex and nonreflex changes in spastic hemiparesis may help evaluate/treat them more effectively.