Mathematical model of patella T-reflex and clinical evaluation with Ashworth scales

BİLGİN S., CARLAK H. F., POLAT Ö., Nuzket T., USLU S., UYSAL H.

BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK, cilt.65, sa.5, ss.587-594, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 65 Sayı: 5
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1515/bmt-2019-0071
  • Dergi Adı: BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Agricultural & Environmental Science Database, BIOSIS, Biotechnology Research Abstracts, Compendex, EMBASE, INSPEC, MEDLINE
  • Sayfa Sayıları: ss.587-594
  • Anahtar Kelimeler: Ashworth scales, curve fitting, patella T-reflex, spasticity, PENDULUM TEST, SPASTICITY, TIZANIDINE
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Spasticity is one of the major problems that arise in different neurological diseases and seriously affect the quality of human life. Research on the understanding of mechanism of spasticity remains as important as the studies on the spasticity therapy and rehabilitation. In this study, the spasticity mechanism which develops concerning the upper motor neuron lesions is investigated by modelling "Patella tendon reflex triggered patella pendulum". The mathematical model based on the pendulum phenomenon is developed by solving the curve-fitting problem as finding the curve that best fits a set of data points. Electrophysiological and dynamic measurement data were taken from 76 spastic subjects and 20 healthy participants. The mathematical model is determined by the morphological properties of the goniometric variations. The results denote that the mathematical model containing two clinically relevant parameters -frequency component of the damped oscillatory motion defined as "f(0)" with the maximum angle of the reflex defined as "a(0)" ensures to distinguish spasticity from healthy subjects.