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Clinical measures for tone assessment in adults with central nervous system disorders—A scoping review in a rehabilitation context

2024-09-11Journal article Open access
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dc.contributor.authorPinho, Liliana
dc.contributor.authorSilva, Sandra
dc.contributor.authorFreitas, Marta
dc.contributor.authorFigueira, Vânia
dc.contributor.authorPinho, Francisco
dc.contributor.authorCunha, Christine
dc.contributor.authorSousa, Andreia S. P.
dc.contributor.authorSousa, Filipa
dc.contributor.authorSilva, Augusta
dc.date.accessioned2024-10-24T13:24:44Z
dc.date.available2024-10-24T13:24:44Z
dc.date.issued2024-09-11
dc.description.abstractAssessment of muscle tone in a clinical setting is important for the physiotherapist to better analyse and establish appropriate treatments for CNS disorders. This study aims to review and summarise how to assess changes in tone in the context of adult rehabilitation. Secondarily, this study aimed to identify the central nervous system disorders, the respective variable/concept under study, and the testing procedures employed. PRISMA-ScR guidelines were followed using the “population”, “concept”, and “context” to define the eligibility criteria and to delineate the research question. PubMed®, Science Direct®, Web of Science™, and Google Scholar® databases were used to search the literature. The search included studies published between 2011 and March 2023 in Portuguese, English, French, and Spanish that assessed an adult population (>19 years) with CNS injury. Review articles, qualitative studies, conference proceedings, letters to the editor, and editorials were excluded. Initially, 1519 references were identified, of which eight met the eligibility criteria. The measurement instruments included the Modified Ashworth Scale (n = 5), the Modified Modified Ashworth Scale (n = 3), the BioTone™ system (n = 2), the Montreal Spasticity Measurement (n = 1), and the Tone Evaluation Scale (n = 1). The health conditions considered included stroke sequelae (n = 7), multiple sclerosis (n = 4), spinal cord injuries (n = 4), cerebral palsy (n = 2), brain tumour (n = 2), and traumatic brain injuries (n = 3). The concepts of spasticity (n = 7) and muscle tone (n = 2) were explored. Considering the variables spasticity and muscle tone in different CNS disorders, mainly stroke, subjective instruments were preferred compared to objective ones, with the Modified Ashworth Scale being highlighted.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPinho, L., Silva, S., Freitas, M., Figueira, V., Pinho, F., Cunha, C., Sousa, A. S. P., Sousa, F., & Silva, A. (2024). Clinical measures for tone assessment in adults with central nervous system disorders—A scoping review in a rehabilitation context. Applied Sciences, 14(18), Artigo 18. https://doi.org/10.3390/app14188189pt_PT
dc.identifier.doi10.3390/app14188189pt_PT
dc.identifier.issn2076-3417
dc.identifier.urihttp://hdl.handle.net/10400.22/26265
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2076-3417/14/18/8189pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectTone disorderspt_PT
dc.subjectSpasticitypt_PT
dc.subjectEvaluationpt_PT
dc.subjectRehabilitationpt_PT
dc.subjectAdultspt_PT
dc.titleClinical measures for tone assessment in adults with central nervous system disorders—A scoping review in a rehabilitation contextpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleApplied Sciencespt_PT
oaire.citation.volume14 (18)pt_PT
person.familyNameOliveira e Pinho
person.familyNameNicolau Gonçalves de Freitas
person.familyNameCunha
person.familyNamePinheiro de Sousa
person.familyNameFerreira Silva
person.givenNameLiliana
person.givenNameMarta Sofia
person.givenNameChristine
person.givenNameAndreia Sofia
person.givenNameMaria Augusta
person.identifier1070119
person.identifier1087589
person.identifier.ciencia-idED12-ED6E-5271
person.identifier.ciencia-id1C1D-EBDF-411F
person.identifier.ciencia-id2216-9200-7EF6
person.identifier.ciencia-idCE18-7090-9C5E
person.identifier.orcid0000-0001-6751-5269
person.identifier.orcid0000-0002-6325-6412
person.identifier.orcid0000-0002-0438-9952
person.identifier.orcid0000-0001-9528-1463
person.identifier.orcid0000-0001-5018-6905
person.identifier.ridC-7138-2019
person.identifier.scopus-author-id55950021600
person.identifier.scopus-author-id24482045400
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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