Tackling Spasticity Part 2

EPISODE TITLE: Tackling Spasticity Part 2

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about spasticity. We covered:

• Strategies for addressing spasticity, how to descriptions and rationale for use
• Difference between spasticity management and spasticity treatment
• Specific techniques discussed
  • Stretching
  • Weight Bearing
  • Splinting
  • Intentional muscle fatigue
  • Proprioceptive Neuromuscular Facilitation (PNF) Principles
  • Neuromodulators
  • Surgery
  • Cryoneurolysis
  • Enzyme treatment-clinical trials ongoing
  • Visualization & Mirror Therapy
  • Extra corporeal shock wave therapy
    • Focused waves-sends waves into small area
    • Radial waves-delivers shock waves into broader areas
    • Contraindications to use
    • Adverse effects-transient discomfort, swelling, bruising
    • Works well in conjunction with neuromodulator use

• Importance of interdisciplinary communication & using clinical communication notes
• Spasticity & contracture predictors using traffic light system

We hope you enjoyed this episode of Noggins And Neurons and found the information shared helpful. As always, we want to hear from you! Email us at [e-mail]

Show References

Almufarah, Kausar, Humayun, & Tehsin (2023). Leveraging motor imagery rehabilitation for individuals with disabilities: A review. Healthcare, 11, 1-17. https://doi.org/10.3390/healthcare11192653. https://www.mdpi.com/journal/healthcare

Bavikatte, Subramanian, Ashford, Allison & Hicklan (2021). Early identification and management of post-stroke spasticity: Expert consensus recommendations. Journal of Central Nervous System Disease, 13, 1-8.

Brusola*, Garcia, Albosta, Daly, Kafes & Furtado (2023). Effectiveness of physical therapy interventions on post-stroke spasticity: An umbrella review.

Guo, Hai & Ma (2022). Application of extracorporeal shockwave therapy in nervous system diseases: A review. Frontiers in Neurology DOI 10.3389/fneur.2022.963849

Guo, Gao, Zhao, Sun, Wang & Li (2017). Positive effects of extracorporeal shock wave therapy on spasticity in post stroke patients: A meta-analysis. Journal of Stroke and Cerebrovascular Diseases, Vol. 26, No. 11 (November), 2017: pp 2470–2476

Li (2017). Spasticity, motor recovery, and neural plasticity after stroke. Frontiers in Neurology, 8, 120; 1-7. doi: 10.3389/fneur.2017.00120.

Martinez, Sempere-Rubio, Navarro & Faubel (2021). Effectiveness of shock wave therapy as a treatment for spasticity: A systematic review. Brain Sciences, 11, 15-18. https://dx.doi.org/10.3390/brainsci11010015.

Poveda-Garcia, Moret-Tatay & Gomez-Martinez (2021). The association between mental motor imagery and real movement in stroke. Healthcare, 9, 1568; 1-11. https://doi.org/10.3390/healthcare9111568

Spasticity: Can Anything Be Done. Blog article by Peter G. Levine

Suputtitada, Chatromyen, Chen & Simpson (2024).

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