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Quantitative assessment of spasticity in human T-cell lymphotropic virus type I-associated myelopathy/tropical spastic paraparesis

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Abstract

People with human T-cell lymphotropic virus type I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) develop spasticity. The authors examined 34 patients with HAM/TSP in Perú using a device that measures tone in the gastroc-soleus-Achilles tendon unit and provides a quantitative spasticity assessment (QSA). Tone in the 34 patients was more than double that of women with asymptomatic HTLV-I infection. The device may help to track progression in HTLV-I infection.

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References

  • Bohannon RW, Smith MB (1987). Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther 67: 206–207.

    CAS  PubMed  Google Scholar 

  • de The G, Bomford R (1993). An HTLV-I vaccine: why, how, for whom? AIDS Res Hum Retroviruses 9: 381–386.

    Article  PubMed  Google Scholar 

  • Lehmann JF, Price R, de Lateur BJ, Hinderer S, Traynor C (1989). Spasticity: quantitative measurements as a basis for assessing effectiveness of therapeutic intervention. Arch Phys Med Rehabil 70: 6–15.

    CAS  PubMed  Google Scholar 

  • Leon SF, Costa CM, Gaffga N (1997). Discrepancy, coincidence or evidence in chronic idiopathic spastic paraparesis throughout the world. A meta-analysis on 2811 patients. Arq Neuropsiquiatr 55: 530–535.

    Google Scholar 

  • Maloney EM, Cleghorn FR, Morgan OS, Rodgers-Johnson P, Cranston B, Jack N, Blattner WA, Bartholomew C, Manns A (1998). Incidence of HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) in Jamaica and Trinidad. J Acquir Immune Defic Syndr Hum Retrovirol 17: 167–170.

    CAS  PubMed  Google Scholar 

  • Murphy EL, Fridey J, Smith JW, Engstrom J, Sacher RA, Miller K, Gibble J, Stevens J, Thomson R, Hansma D, Kaplan J, Khabbaz R, Nemo G (1997). HTLV-associated myelopathy in a cohort of HTLV-I and HTLV-II-infected blood donors. The REDS investigators. Neurology 48: 315–320.

    CAS  PubMed  Google Scholar 

  • Osame M (1999). [The recent advances of HAM/TSP research]. Rinsho Shinkeigaku 39: 1200–1202.

    CAS  PubMed  Google Scholar 

  • Price R, Bjornson KF, Lehmann JF, McLaughlin JF, Hays RM (1991). Quantitative measurement of spasticity in children with cerebral palsy. Dev Med Child Neurol 33: 585–595.

    Article  CAS  PubMed  Google Scholar 

  • Roman GC, Roman LN (1988). Tropical spastic paraparesis. A clinical study of 50 patients from Tumaco (Colombia) and review of the worldwide features of the syndrome. J Neurol Sci 87: 121–138.

    Article  CAS  PubMed  Google Scholar 

  • Zunt JR, Alarcon JO, Montano S, Longstreth WT Jr, Price R, Holmes KK (1999). Quantitative assessment of subclinical spasticity in human T-cell lymphotropic virus type I infection. Neurology 53: 386–390.

    CAS  PubMed  Google Scholar 

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Correspondence to J. R. Zunt.

Additional information

This work was supported by NIH grants K23-AI01600, TW00679, and AI0714P, Fogarty International grant T22-TW00001, and the University of Washington Center for AIDS Research (CFAR) grant AI27757.

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Zunt, J.R., Montano, S.M., Alarcón, J.O.V. et al. Quantitative assessment of spasticity in human T-cell lymphotropic virus type I-associated myelopathy/tropical spastic paraparesis. Journal of NeuroVirology 11, 70–73 (2005). https://doi.org/10.1080/13550280590900571

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  • DOI: https://doi.org/10.1080/13550280590900571

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