Upper Motor Neurone Syndrome and Spasticity: Clinical Management and Neurophysiology

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

• ISBN13: 9780521794275
• ISBN10: 0521794277
• Edition: 1st
• Format: Paperback
• Copyright: 2001-02-19
• Publisher: Cambridge University Press

Summary

This is a practical reference and guide for physicians, surgeons, therapists, orthotists, bioengineers and other health professionals involved in the management of a disabled individual with upper motor neurone syndrome and spasticity. It is a thorough review, covering all aspects of management from physiotherapy, seating, and orthoses to the use of drugs. It examines the neurophysiology of spasticity, measurement of outcome, and the newer treatment techniques, such as phenol and alcohol nerve blocks and botulinum toxin injections. More invasive procedures, including intrathecal baclofen and surgical intervention for more complex and severe spasticity, are covered in detail, and the final chapter looks closely at the management of spasticity in children.

Table of Contents

List of contributors	vii
Preface	ix
An overview of the clinical management of spasticity	1	(11)
Michael P. Barnes
Neurophysiology of spasticity	12	(67)
Geoff Sheean
Measurement of spasticity	79	(17)
Garth R. Johnson
Physiotherapy management of spasticity	96	(26)
Roslyn N. Boyd
Louise Ada
Seating and positioning in spasticity	122	(20)
Craig A. Kirkwood
Geoff I. Bardsley
Orthoses, splinting and casting in spasticity	142	(23)
Paul T. Charlton
Duncan W. N. Ferguson
Pharmacological management of spasticity	165	(23)
Anthony B. Ward
Chit Ko Ko
Chemical neurolysis in the management of spasticity	188	(18)
A. M. O. Bakheit
The use of botulinum toxin in spasticity	206	(17)
Elizabeth C. Davis
Michael P. Barnes
Intrathecal baclofen for control of spinal and supraspinal spasticity	223	(16)
David N. Rushton
Surgical management of spasticity	239	(27)
Patrick Mertens
Marc Sindou
Management of spasticity in children	266	(40)
Marinis Pirpiris
H. Kerr Graham
Index	306