Download e-book for iPad: Clinical Evaluation and Management of Spasticity (Current by David A. Gelber, Douglas R. Jeffery


By David A. Gelber, Douglas R. Jeffery

David A. Gelber, MD, and Douglas R. Jeffery, MD, have assembled a much-needed selection of authoritative evaluation articles discussing the pathophysiology of continual neurologic spasticity and detailing its frequently advanced scientific and surgical administration. Written by means of best specialists in neurology and rehabilitation, the e-book covers actual and occupational treatment, splinting and orthotics, electric stimulation, orthopedic interventions, nerve blocks, using botulinum toxin, and novel remedies corresponding to tizanidine, intrathecal medicines, and neurosurgical suggestions. The participants additionally evaluate coordinated techniques to the remedy of spasticity and particular neurological ailments resembling spinal wire damage, a number of sclerosis, stroke, cerebral palsy, and stressful mind harm.

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Extra info for Clinical Evaluation and Management of Spasticity (Current Clinical Neurology)

Example text

Et al. (1998) Muscle length effect on the pendulum test. Arch Phys. Med. Rehabil. 79, 169–171. 23. Kaeser, H. E. et al. (1998) Testing an antispasticity drug (Tetrazepam) with the pendulum test: a monocentric pilot study. J. Neuro. Rehabil. 12, 169–177. 24. Brown, R. A. et al. (1988) Does the Wartenberg pendulum test differentiate quantitatively between spasticity and rigidity? A study in elderly stroke and Parkinsonian patients. J. Neurol. Neurosurg. Psychiatry 51, 1178–1186. 25. Leslie, G. C.

Calculation of the index R2 from the pendulum curve of a spastic and a normal leg. In the spastic leg, the first descending swing is interrupted by a quadriceps reflex (a1) at 30°. In the normal leg there is an overswing to Ϫ45° (a2). Calculation of R2 is indicated in the two examples. Adapted with permission from ref. (23). knee-extension torque was recorded isometrically. A number of system measures were calculated including tendon reflex gain, contraction rate, reflexloop delay, and threshold tapping force.

1992) A comparison of the assessment of spasticity by the Wartenberg pendulum test and the Ashworth grading scale in patients with multiple sclerosis. Clin. Rehabil. 6, 41–48. 26. Bohannon, R. (1999) Usefulness of the pendulum test. Neurorehab. Neural Repair 13, 259–260. 27. Simons, D. G. and Lamonte, R. J. (1971) Automated system for the measurement of reflex responses to patellar taps in man. Am. J. Phys. Med. 50, 72–79. 28. -Q. et al. (1999) System identification of tendon reflex dynamics. IEEE Trans.

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