Brain Behav: Increased muscle tone and contractions in late stageafter after ischemic stroke

In the absence of a choice, there is limited systematic research on the increase of muscle tone and spasms in the late stroke of ischemic strokeTherefore, we aim to determine the incidence of increased dystonia, classic spasms and consories after 7 years of stroke, and the predictors of increased dystonia after 7 years of strokerecruited patients with acute ischemic stroke at age 70 in the ischemic stroke study at Sahlgrenska College (n - 411)Use the Scandinavian Stroke Scale to assess symptoms during exponential strokeSeven years after the stroke, survivors (n - 358) were invited to conduct follow-up assessments, of which 292 agreed to participate and 288 provided dataThe muscle tone, classic spasms and contractions of the modified Ashworth scale are evaluated by neurologistsThe association between muscle tone increase and characteristics of exponential stroke and recurrent stroke was studied by logistic regression analysisresults showed an increase in dystonia in 99 participants (34 per cent): 94 (33 per cent) on the upper extremities and 72 (25 per cent) on the lower limbsFifty-one participants (18%) developed classic spasms and 26 participants (9%) developed contractionsAge (probability ratio of 1.03 (95% confidence interval) 1.00-1.06), arm paralysis (OR 1.76 (95% CI 1.40-2.2), aphasia Symptoms (OR 1.68 (95% CI 1.12-2.51) and facial palsy (OR 2.12 (95% CI 1.10-4.07) are independent predictors of increased dystonia, the results showed that one-third of patients with ischemic stroke before the age of 70 showed increased muscle tone during seven years of follow-upHalf of the patients also had classic spasmsAge, arm palsy, aphasia, and facial palsy during stroke are predictors of increased muscle tone after a stroke