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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

Health & Medicine
1 of 25
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]
What is spasticity?? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Upper Extremity Spasticity
Lower Extremity Spasticity
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]
Intrathecal Baclofen
Surgical Procedures ,[object Object],[object Object],[object Object]
Take Home Points…. ,[object Object],[object Object],[object Object]
QUESTIONS???

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