Report the prevalence of spasticity and treatment patterns during first-time admission to inpatient rehabilitation following acute stroke, traumatic brain injury (TBI), and spinal cord injury (SCI).
Review of 285 adult patients consecutively admitted to inpatient rehabilitation. Patients with prior history of spasticity, inpatient rehabilitation course, and under 18 years of age were excluded. Main Outcome Measures: admitting diagnosis, length of stay (LOS), time from injury to admission, acute transfer rate, prevalence and severity of spasticity using Modified Ashworth Scale (MAS) at admission and discharge, Functional Independence Measure® (FIM) scores at admission and discharge, FIM efficiency, and treatments for spasticity.
Stroke patients had the highest prevalence of spasticity: 68% on admission and 50% at discharge. In TBI, spasticity prevalence was 55% on admission and 30% at discharge. In SCI, spasticity prevalence was 48% on admission and 46% at discharge. Patients with SCI received the most medications to control spasticity, while those with TBI and stroke received the most procedural interventions.
Spasticity is a common sequela of upper motor neuron injury for patients admitted to inpatient rehabilitation. Early recognition and management are essential to prevent contractures, minimize pain, and maximize functional recovery.