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Related Experiment Videos

Managing spasticity

J A DeLisa, J Little

    American Family Physician
    |September 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Spasticity from upper motor neuron lesions can be beneficial and requires treatment only when it impairs function or comfort. Management starts with stretching and removing pain triggers, progressing to medications or surgical interventions if needed.

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    Area of Science:

    • Neurology
    • Rehabilitation Medicine

    Background:

    • Spasticity is a common symptom following upper motor neuron lesions.
    • It can sometimes offer functional benefits to patients.

    Purpose of the Study:

    • To outline the conservative and surgical management strategies for spasticity.
    • To emphasize a selective treatment approach based on functional impact.

    Main Methods:

    • Review of current treatment modalities for spasticity.
    • Discussion of a stepwise management approach, starting with non-invasive methods.

    Main Results:

    • Conservative measures like stretching and eliminating nociceptive stimuli are primary interventions.
    • Pharmacological treatments, tenotomies, and nerve blocks offer further options.

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  • Neurectomies and neurosurgery are reserved for severe, intractable cases.

    • Conclusions:

    • Spasticity management should be individualized, prioritizing function and comfort.
    • A tiered approach, from conservative to surgical, ensures appropriate intervention based on severity and impact.