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• W2097188765 abstract "Primary objective: The aim of the present study was to evaluate the association of contractures with an increase or reduction of non-spastic muscle overactivity due to severe cerebral damage.Methods and procedures: Forty-five patients with tetraparesis after severe cerebral damage were investigated. Three groups were defined based on the presence of spasticity (revealed as resistance to passive stretch (= hypertonia)), and the presence of contracture of the relevant knee joint: Groups(17 patients with hypertonia without contracture), Groups+c(20 patients with hypertonia and contracture), and Groupc(eight patients without hypertonia and with contracture). In all groups spontaneous involuntary muscle activity was assessed continuously over a 12-hour period through isometric measurement of knee joint flexion torque. A mathematical algorithm differentiated an hourly muscle activity spectrum (PIh). The frequency of peaks (peaksh) from the activity spectrum was determined.Main outcomes and results: We revealed that Groupshad higher PIhand more frequent peakshcompared with Groups+cand Groupc(p < 0.05). Groupchad comparable PIhand peakshcompared with Groups+c(p > 0.05).Conclusion: The presence of contractures was associated with lower involuntary muscle overactivity in terms of lower PIhand less frequent peaksh, indicating that contractures may be associated with reduced non-spastic positive features of the upper motor neurone syndrome in patients with severe brain damage." @default.
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• W2097188765 date "2007-01-01" @default.
• W2097188765 modified "2023-10-17" @default.
• W2097188765 title "Contractures and involuntary muscle overactivity in severe brain injury" @default.
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• W2097188765 doi "https://doi.org/10.1080/02699050701311109" @default.
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