Full Description
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.
Contents
I Basic Concepts of Spasticity.- 1 Physiology and Pharmacology of Spasticity.- 2 Clinical Features of Spasticity and Principles of Treatment.- 3 Measurement of Spasticity.- II Treatment Modalities.- 4 Physical and Occupational Approaches.- 5 Orthotic Management.- 6 Electrical Stimulation.- 7 Baclofen.- 8 Tizanidine.- 9 Benzodiazepines.- 10 Dantrolene.- 11 Alternative Pharmacologic Therapies.- 12 Nerve Blocks.- 13 Botulinum Toxins.- 14 Intrathecal Medications.- 15 Orthopedic Interventions for the Management of Limb Deformities in Upper Motoneuron Syndromes.- 16 Neurosurgical Management.- III A Coordinated Approach to the Treatment of Spasticity in Neurologic Diseases.- 17 Management of Spasticity in Children with Cerebral Palsy.- 18 The Evaluation and Treatment of Spasticity in Patients with Multiple Sclerosis.- 19 The Development and Management of Spasticity Following Traumatic Brain Injury.- 20 Spasticity in Spinal Cord Injury: A Clinician's Approach.
