By Allison Brashear MD

A Doody's center identify 2012

Spasticity: analysis and Management is the 1st ebook exclusively devoted to the analysis and therapy of spasticity. This pioneering paintings defines spasticity within the large context of higher Motor Neuron Syndrome and focuses now not on a unmarried part, yet at the complete constellation of stipulations that make up the UMNS and infrequently result in disability.

Spasticity: prognosis and Management essentially defines the method for the prognosis of spasticity, the elemental technology at the back of its pathophysiology, the size instruments used for evaluate, and experiences the on hand healing procedures. Divided into 5 sections, this complete medical source presents a roadmap for assessing the complex photo of spasticity and selecting the fitting interventions. cures together with oral medicines, intrathecal baclofen, botulinum toxin and phenol, and surgical innovations are completely mentioned, as are non-medical remedies and the function of the rising applied sciences. the entire spectrum of illnesses regarding spasticity in adults and kids and the original diagnostic and administration demanding situations they current is addressed via skilled clinicians. this article is a one-stop resource for physicians, therapists and different participants of the spasticity administration group tasked with the target of bettering sufferer care and outcomes.

Special good points of Spasticity: analysis and Management include

  • In-depth insurance of diagnoses, interventions, and results throughout a number of pathologies
  • Tools and medical measurements for sufferer overview
  • Treatment-focused chapters outlining present scientific and different healing innovations
  • Illustrated overview of limb anatomy
  • Hands-on counsel to chemodenervation suggestions with botulinum toxin and phenol, and ITB administration
  • Disease-based chapters dedicated to the complete variety of scientific stipulations related to spasticity in adults.and youngsters
  • Multidisciplinary viewpoint helping a staff method of care

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Additional resources for Spasticity: Diagnosis and Management

Sample text

Welmer AK, von Arbin M, Widen Holmqvist L, Sommerfeld DK. Spasticity and its association with functioning and healthrelated quality of life 18 months after stroke. Cerebrovasc Dis. 2006;21:247–253. 35. Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993;118:622–629. 36. Barnes SA, Gregson JM, Leathley MJ, Sharma AK, Smith TL, Watkins CL. Development and inter-rater reliability of an assessment scale to measure abnormal tone in adult, hemiplegic stroke patients.

Prevalence and treatment of spasticity reported by multiple sclerosis patients. Mult Scler. 2004;10:589–595. 8. Wichers MJ, Odding E, Stam HJ, van Nieuwenhuizen O. Clinical presentation associated disorders and aetiological moments in cerebral palsy: a Dutch population–based study. Disabil Rehabil. 2005;27:583–589. 9. Mayer N, Esquenazi A. Muscle overactivity and movement dysfunction in the upper motoneuron syndrome. Phys Med Rehabil Clin N Am. 2003;14:855–883. 10. Watkins CL, Leathley MJ, Gregson JM, Moore AP, Smith TL, Sharma AK.

Against increasing loads, the orderly recruitment of small to larger units may also be impaired (4). Nevertheless, many patients retain considerable strength, especially if tested isometrically. In some cases, it is striking how much forward push a patient can develop against an examiner’s hand isometrically while being unable to reach forward even an inch isotonically. 1 Flexor synergy pattern. 3 Effort by a hemiparetic patient to reach forward and grasp a door handle does not produce the intended movement pattern but only components of flexor synergy (shoulder retraction, abduction, elbow flexion).

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