Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-848d4c4894-75dct Total loading time: 0 Render date: 2024-04-30T17:06:58.052Z Has data issue: false hasContentIssue false

Chapter 11 - Management of Spasticity in Neurorehabilitation

Published online by Cambridge University Press:  13 October 2018

By
Valerie L. Stevenson
Edited by
Krishnan Padmakumari Sivaraman Nair ,
Marlís González-Fernández  and
Jalesh N. Panicker
Krishnan Padmakumari Sivaraman Nair
Affiliation:
Royal Hallamshire Hospital, Sheffield
Marlís González-Fernández
Affiliation:
Johns Hopkins University Hospital, Baltimore, MD
Jalesh N. Panicker
Affiliation:
National Hospital for Neurology & Neurosurgery, London
Get access

Summary

A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.
Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Chapter
Information
Neurorehabilitation Therapy and Therapeutics , pp. 119 - 133
Publisher: Cambridge University Press
Print publication year: 2018

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kheder, A, Nair, KPS. Spasticity: Pathophysiology, evaluation and management. Practical Neurology 2012; 12(5): 289–98.Google Scholar
Marsden, JF What is spasticity? In Stevenson, VL, Jarrett, L eds. Spasticity management: A practical multidisciplinary guide (2nd edn.). Boca Raton, FL: Taylor and Francis, 2016; 3–28.Google Scholar
Stevenson, VL Oral medication. In Stevenson, VL, Jarrett, L eds. Spasticity management: A practical multidisciplinary guide (2nd edn.). Boca Raton, FL: Taylor and Francis, 2016; 83–101.Google Scholar
Stevenson, VL, Playford, ED Neurological rehabilitation and the management of spasticity. Medicine 2016; 44(9): 530–6.Google Scholar
NHS Outcomes Framework England. 2014. www.england.nhs.uk/resources/resources-for-ccgs/out-frwrk/dom-2/.Google Scholar
Koch, T, Jenkin, P, Kralik, D. Chronic illness self-management: Locating the ‘self’. J. Adv. Nurs. 2004; 48: 484–92.Google Scholar
Buchanan, K, Hourihan, S. Physical and postural management of spasticity. In Stevenson, VL, Jarrett, L eds. Spasticity management: A practical multidisciplinary guide (2nd edn.). Boca Raton, FL: Taylor and Francis, 2016; 57–82.Google Scholar
Andersson, C, Grooten, W, Hellsten, M, Kaping, K, Mattsson, E. Adults with cerebral palsy: Walking ability after progressive strength training. Dev. Med. Child. Neurol. 2003; 45: 220–8.Google Scholar
Saunders, DH, Sanderson, M, Brazzelli, M, Greig, CA, Mead, GE Physical fitness training for stroke patients. Cochrane Database Syst. Rev. 2013; 10: CD003316.Google Scholar
Rietberg, M, Brooks, D, Uitdehaag, B, Kwakkel, G. Exercise therapy for multiple sclerosis. Cochrane Database Syst. Rev. 2004; 3: CD003980.Google Scholar
National Institute for Health and Care Excellence. Guideline for the management of MS in primary and secondary care. London, UK: National Institute for Health and Care Excellence, 2014. www.nice.org.uk/guidance/cg186.Google Scholar
Hendrie, WA, Watson, MJ, McArthur, MA A pilot mixed methods investigation of the use of Oswestry standing frames in the homes of nine people with severe multiple sclerosis. Disabil. Rehab. 2015; 37(13): 1178–85.Google Scholar
Chang, YJ, Liang, JN, Hsu, MJ et al. Effects of continuous passive motion on reversing the adapted spinal circuit in humans with chronic spinal cord injury. Arch. Phys. Med. Rehabil. 2013; 94: 822–8.Google Scholar
Katalinic, OM, Harvey, LA, Herbert, RD Effectiveness of stretch for the treatment and prevention of contractures in people with neurological conditions: A systematic review. Phys. Ther. J. 2011; 91(1): 11–24.Google Scholar
College of Occupational Therapists. Splinting for the prevention and correction of contractures in adults with neurological dysfunction, 2015. www.cot.co.uk/publication/cot-publications/splinting-prevention-and-correction-contracturesadults-neurological-dy.Google Scholar
Pope, P. Posture management and special seating: Neurological physiotherapy. A problem solving approach. London, UK: Churchill Livingstone, 2002.Google Scholar
Intercollegiate Stroke Working Party. National clinical guideline for stroke (4th edn.). London, UK: Royal College of Physicians, 2012.Google Scholar
National Institute for Health and Care Excellence. IPG278 functional electrical stimulation for drop foot of central neurological origin: Public information. London, UK: National Institute for Health and Care Excellence, 2009.Google Scholar
Price, CI, Pandyan, AD Electrical stimulation for preventing and treating post-stroke shoulder pain: A systematic Cochrane review. Clin. Rehabil. 2001; 15(1): 5–19.Google Scholar
Mills, PB, Finlayson, H, Sudol, M, O’Connor, R. Systematic review of adjunct therapies to improve outcomes following botulinum toxin injection for treatment of limb spasticity. Clin. Rehabil. 2016 Jun; 30(6): 537–48.Google Scholar
Montane, E, Vallano, A, Laporte, JR Oral antispastic drugs in nonprogressive neurologic diseases: A systematic review. Neurology 2004; 63: 1357–63.Google Scholar
Beard, S, Hunn, A, Wight, J. Treatments for spasticity and pain in multiple sclerosis: A systematic review. Health Technol. Assess. 2003; 7(40): iii, ix–x, 1–111, 24.Google Scholar
Paisley, S, Beard, S, Hunn, A, Wight, J. Clinical effectiveness of oral treatments for spasticity in multiple sclerosis: A systematic review. Mult. Scler. 2002; 8: 319–29.Google Scholar
Malanga, G, Reiter, RD, Garay, E. Update on tizanidine for muscle spasticity and emerging indications. Expert Opin. Pharmacother. 2008; 9(12): 2209–15.Google Scholar
Formica, A, Verger, K, Sol, JM, Morralla, C. Gabapentin for spasticity: A randomized, double-blind, placebo controlled trial. Med. Clin. (Barc.) 2005; 124: 81–5.Google Scholar
Bradley, LJ, Kirker, SGB Pregabalin in the treatment of spasticity: A retrospective case series. Disabil. Rehabil. 2008; 30(16): 1230–2.Google Scholar
Novotna, A, Mares, J, Ratcliffe, S et al. A randomized, double-blind, placebo-controlled, parallel-group, enriched-design study of nabiximols (Sativex®), as add-on therapy, in subjects with refractory spasticity caused by multiple sclerosis. Eur. J. Neurol. 2011; 18(9): 1122–31.Google Scholar
Baker, JA, Pereira, G. The efficacy of botulinum toxin A on improving ease of care in the upper and lower limbs: A systematic review and meta-analysis using the Grades of Recommendation, Assessment, Development and Evaluation approach. Clin. Rehabil. 2015; 29(8): 731–40.Google Scholar
Foley, N, Pereira, S, Salter, K et al. Treatment with botulinum toxin improves upper extremity function post stroke: A systematic review and meta-analysis. Arch. Phys. Med. Rehabil. 2013; 94(5): 977–89.Google Scholar
Wissel, J, Ward, AB, Erztgaard, P et al. European consensus table on the use of botulinum toxin type A in adult spasticity. J. Rehabil. Med. 2009; 41(1): 13–25.Google Scholar
Farrell, R, Buchanan, K. Focal treatments, including botulinum toxin. In Stevenson, VL, Jarrett, L eds. Spasticity management: A practical multidisciplinary guide (2nd edn.). Boca Raton, FL: Taylor and Francis, 2016; 103–27.Google Scholar
Barnes, MP Local treatment of spasticity. Baillieres Clin. Neurol. 1993; 2(1): 55–71.Google Scholar
Stevenson, VL Intrathecal baclofen and phenol. In Stevenson, VL, Jarrett, L eds. Spasticity management: A practical multidisciplinary guide (2nd edn.). Boca Raton, FL: Taylor and Francis, 2016; 129–60.Google Scholar
Hoarau, X, Richer, E, Dehail, P, Cuny, E. A 10-year follow-up study of patients with severe traumatic brain injury and dysautonomia treated with intrathecal baclofen therapy. Brain Injury 2012; 26(7–8): 927–40.Google Scholar
Sadiq, SA, Wang, GC Long-term intrathecal baclofen therapy in ambulatory patients with spasticity. J. Neurol 2006; 253(5): 563–9.Google Scholar
Borrini, L, Bensmail, D, Thiebaut, JB, Hugeron, C, Rech, C, Jourdan, C. Occurrence of adverse events in long-term intrathecal baclofen infusion: A 1-year follow-up study of 158 adults. Arch. Phys. Med. Rehabil. 2014; 95(6): 1032–8.Google Scholar
Watve, SV, Sivan, M, Raza, WA, Jamil, FF. Management of acute overdose or withdrawal state in intrathecal baclofen therapy. Spinal Cord 2012; 50(2): 107–11.Google Scholar
Jarrett, L, Nandi, P, Thompson, AJ Managing severe lower limb spasticity in multiple sclerosis: Does intrathecal phenol have a role? J. Neurol. Neurosurg. Psychiatry 2002; 73: 705–9.Google Scholar
Pinder, C, Bhakta, B, Kodavali, K. Intrathecal phenol: An old treatment revisited. Disability and Rehabilitation 2008; 30(5): 381–6.Google Scholar
McLaughlin, J, Bjornson, K, Temkin, N et al. Selective dorsal rhizotomy: Meta-analysis of three randomized controlled trials. Dev. Med. Child. Neurol. 2002; 44(1): 17–25.Google Scholar
Ingale, H, Ughratdar, I, Muquit, S, Moussa, AA, Vloeberghs, MH Selective dorsal rhizotomy as an alternative to intrathecal baclofen pump replacement in GMFCS grades 4 and 5 children. Childs Nerv. Syst. 2016; 32(2): 321–5.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×