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Updated: Feb 28, 2026

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Spasticity Video Challenge: A Look at Methods for Addressing Difficult Cases.

Katharine E Alter1, Mark Gormley2, Atul T Patel3

  • 1Mount Washington Pediatric Hospital, AT Still University, Mesa, Arizona, United States.

PM & R : the Journal of Injury, Function, and Rehabilitation
|June 22, 2017
PubMed
Summary
This summary is machine-generated.

Spasticity management requires a comprehensive approach, combining various therapies to address unique patient needs. Botulinum toxin is valuable but should complement, not replace, other treatments for upper motor neuron syndromes.

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Area of Science:

  • Neurology
  • Physical Medicine and Rehabilitation

Background:

  • Spasticity, a common symptom of upper motor neuron syndromes (traumatic brain injury, stroke, cerebral palsy), significantly impacts patient function.
  • Current treatment paradigms involve a combination of interventions.

Purpose of the Study:

  • To outline a multifaceted treatment strategy for spasticity.
  • To emphasize individualized patient assessment and goal setting.

Main Methods:

  • Review of current therapeutic options for spasticity.
  • Emphasis on personalized assessment of impairments and functional impact.

Main Results:

  • Treatment of spasticity is complex and requires a combination of chemodenervation, systemic medications, surgery, and rehabilitation.
  • Individualized assessment is crucial for effective management.

Conclusions:

  • Botulinum toxin is a key component for symptomatic relief and functional improvement in hypertonia.
  • Botulinum toxin should rarely be the sole treatment modality for spasticity.