Spasticity and contractures

Manoj Sivan, Margaret Phillips, Ian Baguley, Melissa Nott

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

This chapter discusses spasticity, a positive feature of disruption of the upper motor neuron pathways following acquired brain injury. After defining spasticity, it covers the prevalence and impact on limb function, methods of measurement (to monitor the outcomes of rehabilitation), goal setting, and management. Physical interventions by the physiotherapist and occupational therapist are described (as well as interventions to manage paresis and develop motor control), and pharmacological interventions (such as oral and intrathecal medications, and injectables) and their use in both treatment and management are discussed. The case for surgical intervention is also made for certain cases.
Original languageEnglish
Title of host publicationOxford Handbook of Rehabilitation Medicine
EditorsManoj Sivan, Margaret Phillips, Ian Baguley, Melissa Nott
PublisherOxford University Press
Chapter10
Pages123-140
Number of pages18
Edition3
ISBN (Print)9780198785477
DOIs
Publication statusPublished - Oct 2019

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