Neurophysiology of spasticity

... 2 Neurophysiology of spasticity Geoff Sheean Introduction The pathophysiology of spasticity is a complex sub- ject and one frequently avoided by clinicians. Some of the difficulties ... dependence of the Neurophysiology of spasticity 21 motoneurone firing threshold upon the rate of change of the depolarizing current (Powers et al., 1989). Houk and colleagues (1981) studi...

Ngày tải lên: 01/11/2013, 10:20

... overall management of spasticity. An overview of the clinical management of spasticity 7 treatment such as heat and advice on the use of hydrotherapy as well as the prescription of splints and casts. ... overview of the clinical management of spasticity 5 toenails or small pressure sores can, in turn, exacer- bate the spasticity, and a vicious circle of increased pain an...

Ngày tải lên: 01/11/2013, 10:20

... relation to the underlying cause of the spasticity, but the natural history of the spasticity is of great impor- tance.BoNT-A has been of great value in the manage- mentof spasticity secondary toacquiredbrain ... that the most common cause of spasticity in our clinics is cerebral palsy, subsequent discussion 214 Management of spasticity in children 215 Table 12.1. Aetiolo...

Ngày tải lên: 01/11/2013, 10:20

... and safety of baclofen therapy without evidence of drug tolerance, even after many years. There have been few studies investigating the effect of baclofen in treatment of spasticity of cere- bral ... Ordinal scale of tone intensity 0–5 Bohannon & Smith, 1986 Oswestry scale of grading Ordinal scale of stage and distribution of tone and quality of isolated movements Go...

Ngày tải lên: 01/11/2013, 10:20

... management of spasticity Roslyn N. Boyd and Louise Ada In the past, much of the controversy about the man- agement of spasticity has been due to a lack of com- monly accepted definitions of the disorder, ... clinicians to argue for a broader definition of spasticity, often inclu- sive of the whole upper motor neurone syndrome, rather than viewing spasticity as one feature...

Ngày tải lên: 01/11/2013, 10:20

... 11 Surgical management of spasticity Patrick Mertens and Marc Sindou Introduction Spasticity is one of the commonest sequelae of neu- rological diseases. In most patients spasticity is use- ful ... level of the thoracolumbar spinal cord for spasticity in the lower limbs of para- paretic patients or at the level of the cervical spinal cord for spasticity in the upper and/...

Ngày tải lên: 01/11/2013, 10:20

... measurement of spasticity at the level of impairment is probably in its infancy. Because of the relative lack of treatment or therapy to reduce spas- ticity, there has been limited development of meth- ... because of neurophysiological complex- ity and the lack of rigid definitions discussed above, there has been a variety of approaches to the mea- surement of spasticity....

Ngày tải lên: 01/11/2013, 10:20

... managementof spasticity 1Michael P. Barnes2 Neurophysiology of spasticity 9Geoff Sheean3 The measurement of spasticity 64Garth R. Johnson and Anand D. Pandyan4 Physiotherapy management ofspasticity ... overall management of spasticity. An overview of the clinical management of spasticity 7treatment such as heat and advice on the use ofhydrotherapy as well as the prescrip...

Ngày tải lên: 21/09/2012, 11:02

... months of treatment and progressive dosage increments are often required to maintain the initial therapeutic response. Chemical neurolysis is only one of many methods of treatment of muscle spasticity ... application of plaster casts is impracticable because of the risk of soft tissue damage. Another group of patients who are likely to benefit from chemical neurolysis are tho...

Ngày tải lên: 01/11/2013, 10:20

... controlled trials of ITB have more recently been con- ducted in spinal spasticity and have reported a sim- ilar magnitude of benefit (Ordia et al., 1996). Pharmacology of baclofen Baclofen and ␥-amino ... risk of low-pressure headache. An initial intrathecal trial dose of 25 or 50 μgof baclofen is used. The smaller initial trial dose should be used if the patient is not on oral bac...

Ngày tải lên: 01/11/2013, 10:20