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Physical therapy in spasticity.

D Richardson1

  • 1National Hospital for Neurology & Neurosurgery, Department of Physiotherapy, Queen Square, London, UK. D.Richardson@ion.ucl.ac.uk

European Journal of Neurology
|March 29, 2002
PubMed
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Physiotherapy offers a structured approach to managing adult spasticity, focusing on patient education, assessment, and targeted techniques. This physical therapy strategy aims to improve muscle function and overall outcomes for individuals with upper motor neurone syndrome.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Adult spasticity is a disabling symptom of upper motor neurone syndrome, significantly impacting patient function and quality of life.
  • The role and effectiveness of physiotherapy in managing adult spasticity have been historically understudied, with limited evidence.
  • Physiotherapists are integral members of the rehabilitation team addressing spasticity.

Purpose of the Study:

  • To identify key components of a physiotherapy approach for adult spasticity.
  • To outline specific physical therapy techniques used in managing spasticity.
  • To emphasize the importance of a comprehensive and evidence-based approach to physiotherapy interventions.

Main Methods:

  • Focus on patient and carer education.

Related Experiment Videos

  • Implementation of an 'intervention cycle': assessment, measurement, intervention, and evaluation.
  • Utilizing accurate goal setting and a staged, stepwise approach over extended periods.
  • Main Results:

    • Specific techniques target muscle length, strength, and functional performance.
    • Physiotherapy interventions are broadly categorized into biomechanical, cognitive, and neurophysiological approaches.
    • These techniques are recognized as interdependent, contributing to a holistic treatment strategy.

    Conclusions:

    • A structured physiotherapy approach, incorporating education and specific techniques, is crucial for managing adult spasticity.
    • The combination of physiotherapy with other treatments offers a comprehensive strategy to address the challenges of adult spasticity.
    • Further research and application of evidence-based physical therapy are essential for improving outcomes in adult spasticity management.