Objective: The objective was to identify the correlation between the severity of the ischemic stroke and the severity of post-stroke spasticity in the early recovery period.

Background: Spasticity is a movement disorder that is one of the main disabling symptoms in patients with ischemic stroke. Spasticity significantly limits everyday activity and decreases the life quality of patients.

Method: We included 36 patients (19 females, 67 ± 9 years old, and 17 males, 62 ± 5 years old) who suffered an ischemic stroke. The severity of the stroke was evaluated on admission using the National Institutes of Health Stroke Scale (NIHSS), and the severity of the spasticity was evaluated in the early recovery period using the Modified Ashworth Scale (MAS).

Results: Three months after the stroke, spasticity was revealed in only 19% of patients. At the same time, 43% of them had spasticity in only one limb, and 57% of them had spasticity in two limbs. Among patients with spasticity in one limb, 66% were evaluated as minor stroke, 34% as moderate stroke, and the severity of their spasticity was rated as Score 1+ and Score 2, respectively. Among patients with spasticity of two limbs, 50% were evaluated as moderate stroke, 25% as severe-to-moderate stroke, 25% as severe stroke, and the severity of their spasticity was rated as Score 2, Score 3, and Score 4, respectively.

Conclusion: Despite the small number of patients included in the study, there is a certain relationship between the severity of the stroke and the severity of spasticity in the early recovery period: the more severe the stroke, the more severe the spasticity. However, this issue requires more comprehensive study in the future.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/studying-of-the-correlation-between-the-severity-of-ischemic-stroke-and-the-severity-of-post-stroke-spasticity-in-the-early-recovery-period/