Spasticity treatment facilitates direct care delivery for adults with profound intellectual disability

Movement Disorders : Official Journal of the Movement Disorder Society
P David CharlesPeter E Konrad

Abstract

Many adults with intellectual disabilities (ID) have spasticity, where increased muscle tone impairs activities of daily living (ADL) self-performance and care delivery. There are few reports of spasticity treatment for people with ID, and none of functionally meaningful outcomes. Our objective is to determine the effect of comprehensive spasticity management on ADL self-performance and care delivery. Baseline evaluation included repeated modified Ashworth and range of motion assessments, and timed and videotaped care task observations. Spasticity treatment was initiated immediately thereafter. Follow-up evaluation was conducted after spasticity management was optimized, one year after initiation. All individuals with spasticity at a single developmental center for whom treatment goals could be identified were included. Treatment was recommended by a neurologist from any accepted treatment for spasticity except oral medications, including botulinum neurotoxin A, intrathecal baclofen and orthopedic procedures. The main outcome measure is comparison of ease of videotaped care delivery, rated by direct caregivers blinded to participant treatment status. Spasticity treatment resulted in significant improvement across all outcome me...Continue Reading

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Citations

Sep 13, 2011·Intellectual and Developmental Disabilities·Anna L MolinariP David Charles
Jul 6, 2010·Intellectual and Developmental Disabilities·Karen R Nunez-WallaceP David Charles
Nov 14, 2015·The Cochrane Database of Systematic Reviews·Monika J Hasnat, James E Rice
Jun 16, 2017·Spinal Cord Series and Cases·Bunpot SitthinamsuwanSirilak Suksompong

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