Quantification of spasticity and assessment of drug action in multiple sclerosis patients by a scoring system based on an optical mark reader documentation system. Preliminary results.

Abstract

To evaluate “spasticity” and “rigidity” several clinical parameters were set up in a scoring system on a one-page documentation sheet. This system is based on an optical mark reader documentation system. In this way muscle strength, tone in flexion and extension, clonus, rigidity superficial cutaneous and muscle stretch reflexes as well as synergisms and automatisms from various muscle groups of the upper and lower extremities were recorded. In addition, the general state of performance as well as the subjective statements and the possible factors of disturbance were taken into consideration. Preliminary results of more than 200 examinations are presented.