Clinical Evaluation and Management of Spasticity

David A. Gelber, MD, and Douglas R. Jeffery, MD, have assembled a much-needed collection of authoritative review articles discussing the pathophysiology of chronic neurologic spasticity and detailing its often complex medical and surgical management. Written by leading experts in neurology and rehabilitation, the book covers physical and occupational therapy, splinting and orthotics, electrical stimulation, orthopedic interventions, nerve blocks, the use of botulinum toxin, and novel treatments such as tizanidine, intrathecal medications, and neurosurgical techniques. The contributors also review coordinated approaches to the treatment of spasticity and specific neurological diseases such as spinal cord injury, multiple sclerosis, stroke, cerebral palsy, and traumatic brain injury.

List of contents

I Basic Concepts of Spasticity.- 1 Physiology and Pharmacology of Spasticity.- 2 Clinical Features of Spasticity and Principles of Treatment.- 3 Measurement of Spasticity.- II Treatment Modalities.- 4 Physical and Occupational Approaches.- 5 Orthotic Management.- 6 Electrical Stimulation.- 7 Baclofen.- 8 Tizanidine.- 9 Benzodiazepines.- 10 Dantrolene.- 11 Alternative Pharmacologic Therapies.- 12 Nerve Blocks.- 13 Botulinum Toxins.- 14 Intrathecal Medications.- 15 Orthopedic Interventions for the Management of Limb Deformities in Upper Motoneuron Syndromes.- 16 Neurosurgical Management.- III A Coordinated Approach to the Treatment of Spasticity in Neurologic Diseases.- 17 Management of Spasticity in Children with Cerebral Palsy.- 18 The Evaluation and Treatment of Spasticity in Patients with Multiple Sclerosis.- 19 The Development and Management of Spasticity Following Traumatic Brain Injury.- 20 Spasticity in Spinal Cord Injury: A Clinician's Approach.

Summary

David A. Gelber, MD, and Douglas R. Jeffery, MD, have assembled a much-needed collection of authoritative review articles discussing the pathophysiology of chronic neurologic spasticity and detailing its often complex medical and surgical management. Written by leading experts in neurology and rehabilitation, the book covers physical and occupational therapy, splinting and orthotics, electrical stimulation, orthopedic interventions, nerve blocks, the use of botulinum toxin, and novel treatments such as tizanidine, intrathecal medications, and neurosurgical techniques. The contributors also review coordinated approaches to the treatment of spasticity and specific neurological diseases such as spinal cord injury, multiple sclerosis, stroke, cerebral palsy, and traumatic brain injury.

Additional text

"The book is written for physicians and physical therapists according to the author. I think it is also helpful for occupational therapists and other practitioners in neurology and physical medicine and rehabilitation (PM&R). This book covers basic and clinical features of spasticity, providing a complete review of evaluation and management of spasticity. It is very useful for people who need to manage patients with spasticity. This is a well organized, well written, and useful book that offers practical information regarding spasticity. It is worth reading." -Doody's Health Sciences Book Review Journal, Weighted Numerical Score: 94 - 4 Stars!

"In this book, the readers can really find precise and comprehensive information and data to choose the best treatment for every patient...This textbook is really precious for all physicians involved in neurological rehabilitation. -European Neurology

"This book is more than fairly priced given the amount of information it provides and is presented in an easy-to-follow format. It is an absolute must have for the library of anyone involved in the care on an individual with spasticity. -Journal of Neurosurgery

"...a well-organized book with a strong clinical emphasis Physical therapists, physicians, and students in these disciplines will find that it provides a useful overview of the interventions used to manage people with UMN syndrome and spasticity." - Physical Therapy

"...a comprehensive look at medical management. For therapist who work with clients for whom spasticity is a significant issue this book could be a very useful resource as it provides a thorough explanation of spasticity and the available therapeutic, surgical and pharmacological treatment options." -Canadian Journal of Occupational Therapy

Report

"The book is written for physicians and physical therapists according to the author. I think it is also helpful for occupational therapists and other practitioners in neurology and physical medicine and rehabilitation (PM&R). This book covers basic and clinical features of spasticity, providing a complete review of evaluation and management of spasticity. It is very useful for people who need to manage patients with spasticity. This is a well organized, well written, and useful book that offers practical information regarding spasticity. It is worth reading." -Doody's Health Sciences Book Review Journal, Weighted Numerical Score: 94 - 4 Stars!

"In this book, the readers can really find precise and comprehensive information and data to choose the best treatment for every patient...This textbook is really precious for all physicians involved in neurological rehabilitation. -European Neurology

"This book is more than fairly priced given the amount of information it provides and is presented in an easy-to-follow format. It is an absolute must have for the library of anyone involved in the care on an individual with spasticity. -Journal of Neurosurgery

"...a well-organized book with a strong clinical emphasis Physical therapists, physicians, and students in these disciplines will find that it provides a useful overview of the interventions used to manage people with UMN syndrome and spasticity." - Physical Therapy

"...a comprehensive look at medical management. For therapist who work with clients for whom spasticity is a significant issue this book could be a very useful resource as it provides a thorough explanation of spasticity and the available therapeutic, surgical and pharmacological treatment options." -Canadian Journal of Occupational Therapy

Product details

• Assisted by: Davi A Gelber (Editor), David A Gelber (Editor), David A. Gelber (Editor), Douglas R. Jeffery (Editor), R Jeffery (Editor), R Jeffery (Editor)
• Publisher: Springer, Berlin
• Languages: English
• Product format: Hardback
• Released: 29.06.2009
• EAN: 9780896036369
• ISBN: 978-0-89603-636-9
• No. of pages: 382
• Weight: 735 g
• Illustrations: X, 382 p.
• Series: Current Clinical Neurology; Current Clinical Neurology
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Clinical medicine; Trauma, C, Medicine, Neurology, Spinal Cord, traumatic brain injury