NurseReview.Org - Spasticity After Stroke

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a motor disorder characterized by a velocity-dependent increase in tonic stretch reflexes (muscle tone) with exaggerated tendon jerks, resulting from hyperexcitability of the stretch reflex

Santé & Médecine

Spasticity After Stroke Heather Walker, M.D. Assistant Professor Department of Physical Medicine & Rehabilitation UNC-Chapel Hill

What is a physiatrist??? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physiatrists and Stroke ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is spasticity?? ,[object Object],[object Object]

Spasticity can be defined as increased tightness in affected muscles

What is spasticity?? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Spasticity Complications ,[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Goals ,[object Object],[object Object],[object Object],[object Object],[object Object]

Spasticity Management Steps ,[object Object],[object Object],[object Object],[object Object],[object Object]

Prior to Intervention ,[object Object],[object Object],[object Object],[object Object]

Therapeutic Exercise ,[object Object],[object Object],[object Object],[object Object]

Oral Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Botulinum Toxin Type A (BOTOX ® ) : History of Development 1944 1920s 1895 Botulinum toxin type A first isolated Dr. Schantz begins investigation C. botulinum identified Dr. Scott initiates first therapeutic testing in humans 1978 1989 FDA approval of BOTOX ®

BOTOX ® (Botulinum Toxin Type A): A Focal Therapeutic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Muscle identification ,[object Object],[object Object],[object Object],[object Object]

Side Effects ,[object Object],[object Object],[object Object],[object Object]

Intrathecal Baclofen ,[object Object],[object Object],[object Object],[object Object]

Surgical Procedures ,[object Object],[object Object],[object Object]

Take Home Points…. ,[object Object],[object Object],[object Object]

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