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Considerations in the Management of Upper Extremity Spasticity
Michael S Gart1, Joshua M Adkinson2
1Plastic & Reconstructive Surgery, Hand and Upper Extremity Surgery, OrthoCarolina Hand Center, 1915 Randolph Road, Charlotte, NC 28207, USA.
Hand Clinics
|October 6, 2018
Summary
This review discusses surgical management for spasticity, a condition affecting muscle tone. Careful patient selection and individualized treatment plans are crucial for maximizing functional gains in movement disorders.
Area of Science:
- Neurology
- Orthopedic Surgery
- Rehabilitation Medicine
Background:
- Spasticity is a common movement disorder characterized by increased muscle tone and exaggerated reflexes.
- It often results from conditions like cerebral palsy, spinal cord injury, and stroke.
- Effective management requires individualized treatment strategies.
Purpose of the Study:
- To review the pathophysiology of spasticity.
- To discuss general considerations for surgical management.
- To highlight patient-specific factors and spasticity characteristics influencing surgical decisions.
Main Methods:
- Literature review of spasticity pathophysiology.
- Analysis of general principles in surgical spasticity management.
- Examination of patient factors and spasticity characteristics.
- Case-specific considerations for common etiologies.
Main Results:
- Surgical interventions for spasticity necessitate a highly individualized approach.
- Patient selection is critical for optimizing surgical outcomes.
- Understanding the underlying pathophysiology guides treatment planning.
Conclusions:
- Individualized surgical plans are paramount for maximizing functional improvements in spasticity.
- Careful patient selection and consideration of spasticity characteristics are essential.
- This review provides a framework for managing spasticity surgically across various conditions.
Keywords:
Cerebral palsyManagement considerationsSpasticitySpinal cord injuryStrokeSurgical managementMore Related Videos
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