PMID: 11918645Mar 29, 2002Paper

Physical therapy in spasticity

European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies
D Richardson

Abstract

Physiotherapists are part of the rehabilitation team involved in the management of adult spasticity. Physical therapy is one part of the armoury in the fight against this disabling symptom of the upper motor neurone syndrome. Identifying the physiological changes brought about by physical therapy or physiotherapy, is difficult. As with many interventions in rehabilitation, this area is poorly studied and, until recently, there was little or no evidence for its effectiveness. The aim of this presentation is to identify key components of a physiotherapy approach and outline specific techniques. The key components considered are: education of the patient and their carers; the 'intervention cycle' - involving accurate assessment, careful measurement, intervention and evaluation; accurate goal setting and a staged stepwise approach over prolonged periods. The specific techniques used include treatments targeted at: muscle length changes, muscle strengthening and functional performance. Broadly these techniques can be divided into biomechanical, cognitive and neurophysiological, each being interdependent on the others. Physiotherapy combined with the other available treatments should meet the challenge arising from adult spasticity.

References

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Feb 1, 1997·Trends in Neurosciences·G D Muir, J D Steeves
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Sep 16, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·D RichardsonA Thompson
Mar 29, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·G Sheean
Mar 29, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·G R Johnson
Mar 29, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·K-H Mauritz

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Citations

Apr 27, 2005·Journal of the Neurological Sciences·Marc RousseauxOdile Kozlowski
Mar 29, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A B Ward
Jan 24, 2009·Clinical Rehabilitation·Thamar J H Bovend'EerdtDerick T Wade
Dec 15, 2005·Neuropsychological Rehabilitation·Louise Elliott, Louise Walker
Jun 27, 2009·Brain Injury : [BI]·Noureddin Nakhostin AnsariMaryam Rastgoo
Jan 1, 2017·Physiotherapy Canada. Physiothérapie Canada·Andréanne K BlanchetteMindy F Levin

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