چکیده:
Objectives: One of the most common and disabling complications that affects individuals with
spinal cord injury is spasticity. The purpose of this study is to compare the effect of agonist and
antagonist electrical stimulations on triceps surae muscle spasticity in patients with spinal cord
injury.
Methods: A total of 30 subjects with spinal cord injury were considered for the study. They were
divided into two groups randomly. Group 1 received agonist electrical stimulation (stimulation of
triceps surae) and group 2 received antagonist electrical stimulation (stimulation of tibialis anterior)
for 20 min, once daily, and 5 days per week for two weeks. To evaluate the therapeutic effect,
modified Ashworth score, deep tendon reflex score and clonus score were tested before and after the
treatment. Post treatment evaluation was made 24 h after the last treatment session.
Results: Both the groups showed significant reductions in the modified Ashworth scores and deep
tendon reflex scores after the intervention, but these reductions were not found in the clonus score.
Also, there was no significant difference in the post intervention scores of modified Ashworth scale,
deep tendon reflex and clonus score between the two groups.
Discussion: This study provides evidence that both agonist electrical stimulation and antagonist
electrical stimulations are equally effective in reducing spasticity in triceps surae muscle in patients
with spinal cord injury.
خلاصه ماشینی:
The purpose of this study is to compare the effect of agonist and antagonist electrical stimulations on triceps surae muscle spasticity in patients with spinal cord injury.
Also, there was no significant difference in the post intervention scores of modified Ashworth scale, deep tendon reflex and clonus score between the two groups.
Discussion: This study provides evidence that both agonist electrical stimulation and antagonist electrical stimulations are equally effective in reducing spasticity in triceps surae muscle in patients with spinal cord injury.
The purpose of this study was to compare the effect of two weeks of agonist stimulation (electrical stimulation of triceps su- rae) and antagonist stimulation (electrical stimulation of tibialis anterior) on the spasticity of triceps surae muscle in patients with SCI.
Spasticity in triceps surae muscle was measured by noting the modi- fied Ashworth score, deep tendon reflex grade and clonus score by two raters three times (out of which mode was taken) before and after the intervention.
At the same time, although the effects were statistically significant for both the agonist and antagonist electrical stimulations that were found to be equally effective in reducing the modified Ashworth scores and deep tendon reflex scores in triceps surae muscle, there is still a need for more studies to know how long the effects last.
The results of this study support the use of both agonist and antagonist electrical stimulations as an intervention to decrease spasticity in individuals with SCI.
5. Conclusion This study concludes that both agonist and antagonist electrical stimulations for two weeks were effective in re- ducing spasticity in triceps surae muscle in SCI patients.