spasticity diagnosis and management

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Spasticity

Author : Allison Brashear, MD
ISBN : 1617050032
Genre : Medical
File Size : 71. 10 MB
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A Doody's Core Title 2012 Spasticity: Diagnosis and Management is the first book solely dedicated to the diagnosis and treatment of spasticity. This pioneering work defines spasticity in the broad context of Upper Motor Neuron Syndrome and focuses not on a single component, but on the entire constellation of conditions that make up the UMNS and often lead to disability. Spasticity: Diagnosis and Management clearly defines the process for the diagnosis of spasticity, the basic science behind its pathophysiology, the measurement tools used for evaluation, and reviews the available treatment options. Divided into five sections, this comprehensive clinical resource provides a roadmap for assessing the complicated picture of spasticity and choosing the appropriate interventions. Therapies including oral medications, intrathecal baclofen, botulinum toxin and phenol, and surgical options are thoroughly discussed, as are non-medical therapies and the role of the emerging technologies. The full spectrum of diseases involving spasticity in adults and children and the unique diagnostic and management challenges they present is addressed by experienced clinicians. This text is a one-stop source for physicians, therapists and other members of the spasticity management team tasked with the goal of improving patient care and outcomes. Special Features of Spasticity: Diagnosis and Management include In-depth coverage of diagnoses, interventions, and outcomes across multiple pathologies Tools and clinical measurements for patient assessment Treatment-focused chapters outlining current medical and other therapeutic options Illustrated review of limb anatomy Hands-on guidance to chemodenervation techniques with botulinum toxin and phenol, and ITB management Disease-based chapters devoted to the full range of clinical conditions involving spasticity in adults.and children Multidisciplinary perspective supporting a team approach to care

Spasticity

Author : Allison Brashear, MD
ISBN : 9781617052422
Genre : Medical
File Size : 24. 96 MB
Format : PDF, ePub
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Since publication of the first edition, Spasticity: Diagnosis and Management has been the defining reference and go-to source for physicians, therapists, and other healthcare providers who care for patients with spasticity. For this new updated edition, Dr. Brashear and a diverse team of specialists have come together to integrate new research, clinical trials, measurement tools, therapies, and other recent advances that reflect this evolving field. The book is organized into four sections, each of which covers a broad scope of material. The first is a general overview of spasticity and its effects on movement in patients. Other chapters cover epidemiology and ancillary findings commonly associated with spasticity. Part II details assessment tools and measurements, treatment goals, and how to aim for realistic outcomes. Part III outlines various treatment modalities, including heavily updated chapters on the use of botulinum toxin in the upper and lower extremities, guidance techniques for injections, intrathecal baclofen, neuromodulation, surgery, physical therapy, and more. The last section, which contains several new chapters, discusses evaluation of outcomes and management of patients with stroke, traumatic brain injury, spinal cord injuries, multiple sclerosis, cerebral palsy, and cancer, followed by chapters on spasticity management in long-term care facilities and economic considerations. This book remains the most comprehensive guide to diagnosis and management of spasticity in adults and children, and the revised second edition will continue to serve as an invaluable resource for professionals in any discipline who strive to provide quality care to spasticity patients. Key Features: Revised edition of the premier clinical reference on spasticity Incorporates the latest advances in assessment and treatment Contains six entirely new chapters highlighting key topics including Tardieu scale and other measurement tools, ultrasound guidance for botulinum toxin management, spasticity in special populations, emerging therapies, and economic impact More than 200 figures and 70 tables accompany the updated text

Neurological Rehabilitation

Author : Sudha Balakrishnan
ISBN : 9780128078020
Genre : Medical
File Size : 84. 4 MB
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This chapter aims to address the questions of the definition and effective management of spasticity, in order to assist the reader to recognize, assess, and treat people with this impairment. Spasticity is a physiological consequence of an insult to the brain or spinal cord, which can lead to life-threatening, disabling, and costly consequences. It is a common but not inevitable outcome of the upper motor neuron (UMN) syndrome and is characterized by muscle overactivity and high tone spasms, which, if left untreated, will lead to muscle and soft tissue contracture and limb deformity. There have been several attempts to define spasticity. The difficulty reflects the complex features of the syndrome. The most cited definition is by Lance, but does not fulfil all the clinical scenarios seen in clinical practice. The term “spasticity” in the therapeutic world covers the several other features of the UMN syndrome and, therefore, an all embracing definition is probably required as well. Rates for the prevalence of spasticity in different clinical conditions are variable. This may be due to the presence of many patients with mild spasticity, for whom little or no treatment is required for their condition. However, it is estimated that 38% of patients following stroke develop a degree of spasticity and about 19% require pharmacological treatment. Of these about one-third (5% of the total) will benefit from botulinum toxin injections for focal problems. This chapter will inform the reader about the pathophysiology of spasticity, but also includes the practicalities and principles of management, the delivery of its longer term treatments, and the utilization and measurement of relevant outcomes.

Guidelines For The Use Of Botulinum Toxin Btx In The Management Of Spasticity In Adults

Author : Lynne Turner-Stokes
ISBN : 9781860161667
Genre : Botulinum toxin
File Size : 90. 87 MB
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Multiple Sclerosis Rehabilitation An Issue Of Physical Medicine And Rehabilitation Clinics

Author : Shana L. Johnson
ISBN : 9780323242349
Genre : Medical
File Size : 79. 93 MB
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This issue of Physical Medicine and Rehabilitation Clinics devoted to Multiple Sclerosis is Guest Edited by Drs. George Kraft and Shana Johnson. Articles in this issue include: Gait Impairment and Optimizing Mobility in MS; Spasticity management; Exercise; ADLs and Adaptive Equipment; Movement Disorders; Fatigue Management; Cognitive Impairment and Management; Neurogenic Bladder and Bowel; Visual Issues; Depression and Pain; Adaptive Technology and Vocational Issues; Aging; Evoked Potentials; and Research.

Intrathecal Drug Delivery For Pain And Spasticity E Book

Author : Asokumar Buvanendran
ISBN : 9781455733989
Genre : Medical
File Size : 81. 9 MB
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Intrathecal Drug Delivery for Pain and Spasticity - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of intrathecal drug delivery techniques performed today. Asokumar Buvanendran, MD and Sudhir Diwan, MD, offer expert advice on a variety of procedures to treat chronic non-malignant pain, cancer pain, and spasticity. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. Understand the rationale and scientific evidence behind intrathecal drug delivery techniques and master their execution. Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines. Apply the newest techniques in intrathecal pump placement, cancer pain management, use of baclofen pumps, and compounding drugs. Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms.

Spinal Cord Disease

Author : Edmund Critchley
ISBN : 9781447105695
Genre : Medical
File Size : 60. 31 MB
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The purpose of this volume is to provide a clinical guide which will further knowledge of the advances in the diagnosis and management of spinal cord problems from both the neurological and neurosurgical viewpoint. The basic sciences such as spasticity and pain are discussed, while other chapters cover the effects on the autonomic nervous system, psychosocial and sexual problems and medico-legal aspects. HIV infection, tropical medicine and the effects on the cervical spine of disease and trauma receive particular attention. Spinal Cord Disease provides both the neuroscientist and the clinician with a comprehensive review of the basic science, diagnosis and management of spinal cord problems with particular reference to the choice of investigative techniques, advances in the understanding of the underlying pathophysiology, treatment and rehabilitation.

Fatigue In Multiple Sclerosis

Author : Dr. Lauren B. Krupp, MD
ISBN : 1934559482
Genre : Medical
File Size : 21. 38 MB
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This practical guide for physicians and other health care professionals discusses the impact of fatigue on the individual with MS, the potential etiologies underlying MS-related fatigue, its work up and diagnosis, and pharmacologic and nonpharmacologic management strategies. Fatigue is perhaps the single most prevalent and disabling symptom of the multiple sclerosis, and limits patients' activity more than any other MS symptom. The identification of fatigue as a distinct clinical entity requires both art and science, and most of all, a willingness and ability to listen carefully to patients and their families. The physician's ability to obtain a comprehensive history requires a full understanding of the circumstances in which fatigue occurs (physical, cognitive, and psychosocial) and demands consideration of a large number of disorders, including anxiety, depression, excessive daytime sleepiness, pain, and spasticity, all of which may mimic or contribute to fatigue. While fatigue is almost exclusively a subjective experience, depending on the patient's ability to understand and report this symptom, there are effective methods for identifying the existence of fatigue, determining its severity, and distinguishing it from related or contributing disorders such as depression, pain, and sleep disorders. Readers will learn that fatigue need not be tolerated by the MS patient. Various therapies, support systems, and treatment of underlying affective disorders can all alleviate fatigue or reduce its impact, restoring the patient's energy levels and ability to participate in life. Virtually every MS patient with fatigue can benefit from intervention, and failing to treat the symptom of fatigue with the respect that it deserves is a serious detriment to patient care.

Diagnosis And Management Of Muscle Disease

Author : Albert P. Galdi
ISBN : 9789401163354
Genre : Medical
File Size : 74. 5 MB
Format : PDF
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Neurologists and non-neurologists alike can no longer ignore diseases of the neuromuscular system. The old dogma that these disorders are both uncommon and untreatable has lost its validity. Recent technological advances have enabled us to study more precisely muscle and nerve anatomy, physiology and biochem istry. Because of this progress, we are now recognizing new neuromuscular di seases as well as diagnosing more subtle cases of myasthenia gravis, myotonia, and metabolic myopathies. Treatment of the neuromuscular diseases has also un dergone dramatic change based on new discoveries in the fields of immunology and pharmacology. No longer are myotonia, periodic paralysis, and malignant hyperthermia untreatable medical curiosities. No longer are cases of steroid-un responsive myositis given up as hopeless. Because of all these advances, non-sur gical physicians and especially neurologists must update their knowledge regard ing the neuromuscular disorders. This book, it is hoped, will help such clinicians in dealing with this task. Emphasis has been placed on the diagnosis and management of these disorders rather than on their pathophysiology. The more uncommon diseases and those of uncertain existence have been omitted purposely and left to the larger and more encyclopedic reference works. Chapter 1 discusses the clinical symptoms and signs of muscle disease and is designed to enable the reader to formulate a differential diagnosis on the basis of the patient's history and physical examination.

Cerebral Palsy And Early Stimulation

Author : Vykuntaraju KN
ISBN : 9789350903018
Genre : Medical
File Size : 81. 62 MB
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Comprehensive guide to cerebral palsy for neurologists, paediatricians and postgraduates. Step be step coverage of condition. Includes chapter on probability of walking.

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