Upper Motor Neurone Syndrome and Spasticity: Clinical Management and Neurophysiology

by Edited by Michael P. Barnes , Garth R. Johnson

• ISBN13: 9780521689786
• ISBN10: 0521689783
• Edition: 2nd
• Format: Paperback
• Copyright: 2008-06-02
• Publisher: Cambridge University Press

Summary

Spasticity is a disabling problem for many adults and children with a variety of neurological disorders such as multiple sclerosis, stroke, cerebral palsy and traumatic brain injury. A practical guide for clinicians involved in the management of spasticity, this book covers all aspects of upper motor neurone syndrome from basic neurophysiology and measurement techniques to practical therapy and the use of orthoses. Surgical techniques are also covered, as well as the particular problems of management of spasticity in childhood. In the second edition of this key text, all chapters have been thoroughly updated, with additional coverage of new techniques and new drugs and therapies, whilst continuing the format that has made the first edition the core text in its field. This guide will be invaluable to physicians, physiotherapists, surgeons, orthotists, clinical engineers and health professionals.

Author Biography

Michael P. Barnes is a Professor of Neurological Rehabilitation, University of Newcastle upon Tyne and Consultant Neurologist and Consultant in Rehabilitation Medicine, Walkergate Park International Centre for NeuroRehabilitation, Newcastle upon Tyne, UK. Garth R. Johnson is a Professor of Rehabilitation Engineering, University of Newcastle upon Tyne, Newcastle upon Tyne, UK.

Table of Contents

List of Contributors	p. vii
Preface to the second edition	p. ix
An overview of the clinical management of spasticity	p. 1
Neurophysiology of spasticity	p. 9
The measurement of spasticity	p. 64
Physiotherapy management of spasticity	p. 79
Seating and positioning	p. 99
Orthoses, splints and casts	p. 113
Pharmacological management of spasticity	p. 131
Chemical neurolysis in the management of muscle spasticity	p. 150
Spasticity and botulinum toxin	p. 165
Intrathecal baclofen for the control of spinal and supraspinal spasticity	p. 181
Surgical management of spasticity	p. 193
Management of spasticity in children	p. 214
Index	p. 241
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