Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Long-term modification of spasticity.

Anthony B Ward1

  • 1Rehabilitation Centre, North Staffordshire Hospital, Stoke-on-Trent, Staffordshire, UK. anthony@bward2.freeserve.co.uk

Journal of Rehabilitation Medicine
|June 24, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Does a diagnostic nerve block predict the outcome of botulinum toxin treatment? A narrative review.

Toxicon : official journal of the International Society on Toxinology·2025
Same author

Do Patients With COVID-19 Benefit from Rehabilitation? Functional Outcomes of the First 100 Patients in a COVID-19 Rehabilitation Unit.

Archives of physical medicine and rehabilitation·2021
Same author

Impact of early intervention with onabotulinumtoxinA treatment in adult patients with post-stroke lower limb spasticity: results from the double-blind, placebo-controlled, phase 3 REFLEX study.

Journal of neural transmission (Vienna, Austria : 1996)·2020
Same author

Optimal Muscle Selection for OnabotulinumtoxinA Injections in Poststroke Lower-Limb Spasticity: A Randomized Trial.

American journal of physical medicine & rehabilitation·2019
Same author

Effect of Intrathecal Baclofen on Pain and Quality of Life in Poststroke Spasticity.

Stroke·2018
Same author

OnabotulinumtoxinA for the Treatment of Poststroke Distal Lower Limb Spasticity: A Randomized Trial.

PM & R : the journal of injury, function, and rehabilitation·2018
Same journal

Identification of spastic muscles involved in abnormal joint posture in patients with upper motor neuron syndrome: a narrative review.

Journal of rehabilitation medicine·2026
Same journal

Exertional compartment syndrome and median nerve compression caused by a reversed palmaris longus.

Journal of rehabilitation medicine·2026
Same journal

NASA lean test detects postural orthostatic tachycardia in chronic post-COVID.

Journal of rehabilitation medicine·2026
Same journal

Preoperative physiotherapy and one-year patient-reported outcomes after primary total knee arthroplasty: a registry-based cohort study of 1,688 patients.

Journal of rehabilitation medicine·2026
Same journal

Healthcare utilization in patients with spina bifida and bone fractures.

Journal of rehabilitation medicine·2026
Same journal

Early rehabilitation in trauma patients: an observational study from two Norwegian trauma centers.

Journal of rehabilitation medicine·2026
See all related articles

Effective long-term spasticity management requires clear treatment objectives and strategies. This review details physical therapy, botulinum toxin, phenol nerve blockade, and intrathecal baclofen, emphasizing outcome measures for demonstrating benefit.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Spasticity presents complex long-term management challenges in patients with chronic disabilities.
  • Establishing clear treatment objectives is crucial for effective patient care.
  • Understanding when to modify treatment strategies and implementing discharge policies are key logistical considerations.

Purpose of the Study:

  • To review current clinical dilemmas in the long-term management of spasticity.
  • To outline available treatment strategies and their context in clinical practice.
  • To discuss the justification and measurement of treatment benefits, including the use of outcome measures.

Main Methods:

  • Literature review focusing on long-term management of spasticity.

Related Experiment Videos

  • Discussion of various treatment modalities including physical therapy, botulinum toxin, phenol nerve blockade, and intrathecal baclofen.
  • Emphasis on the importance of outcome measures for demonstrating treatment efficacy.

    • Main Results:

    • Physical treatment plays a vital role in both the initial management and ongoing maintenance of spasticity.
    • Botulinum toxin is a well-documented treatment option, with phenol nerve blockade and intrathecal baclofen also mentioned for clinical practice.
    • Valid and sensitive outcome measures are essential for justifying treatment, especially for expensive interventions.

    Conclusions:

    • A structured approach to spasticity management, incorporating clear objectives, appropriate interventions, and defined discharge policies, is necessary.
    • The review provides context for pharmacological and physical treatments, highlighting the importance of evidence-based practice.
    • Demonstrating treatment benefit through validated outcome measures is critical for patient care and resource allocation.