Clinical Evaluation and Mangement of Spasticity

by Gelber, David A.; Jeffery, Douglas R.

• ISBN13: 9780896036369
• ISBN10: 0896036367
• Format: Hardcover
• Copyright: 2001-11-01
• Publisher: Humana Pr Inc

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.

Table of Contents

Preface	v
Contributors	ix
Part I Basic Concepts of Spasticity
Physiology and Pharmacology of Spasticity	3	(10)
Robert R. Young
Clinical Features of Spasticity and Principles of Treatment	13	(14)
Alex W. Dromerick
Measurement of Spasticity	27	(20)
David C. Good
Part II Treatment Modalities
Physical and Occupational Approaches	47	(20)
Susan H. Pierson
Orthotic Management	67	(26)
Geza F. Kogler
Electrical Stimulation	93	(10)
Peter W. Rossi
Baclofen	103	(22)
Eric P. Bastings
Amelito Malapira
Tizanidine	125	(12)
David A. Gelber
Benzodiazepines	137	(10)
Herbert I. Karpatkin
Mindy Lipson Aisen
Dantrolene	147	(4)
Walter S. Davis
Alternative Pharmacologic Therapies	151	(8)
Joni Clark
Nerve Blocks	159	(14)
David S. Rosenblum
Botulinum Toxins	173	(14)
Lauren C. Seeberger
Christopher F. O'Brien
Intrathecal Medications	187	(10)
Randall T. Schapiro
Orthopedic Interventions for the Management of Limb Deformities in Upper Motoneuron Syndromes	197	(60)
Mary Ann E. Keenan
Patrick J. McDaid
Neurosurgical Management	257	(12)
Jose A. Espinosa
Part III A Coordinated Approach to the Treatment of Spasticity in Neurologic Diseases
Management of Spasticity in Children with Cerebral Palsy	269	(18)
Carol Green
Daniel R. Cooperman
Susan E. Gara
Carrie Proch
The Evaluation and Treatment of Spasticity in Patients with Multiple Sclerosis	287	(18)
Douglas R. Jeffery
The Development and Management of Spasticity Following Traumatic Brain Injury	305	(48)
Patricia B. Jozefczyk
Spasticity in Spinal Cord Injury: A Clinician's Approach	353	(16)
Kurt Fiedler
Douglas R. Jeffery
Index	369