SPASTICITY-INTRATHECAL BACLOFEN PUMP (ITB)

SUMMARY

1. An ITB pump allows direct delivery of baclofen into intrathecal space. Used in SCI, MS, TBI, stroke, CP.

2. This makes it possible to achieve a high concentration of baclofen localized to the spinal cord while reducing untoward CNS effects associated with higher oral doses.

3. The location of the intrathecal catheter tip can be adjusted.

4. Use 1 year post-SCI.

5. Limited experience in stroke patients. Some evidence of ITB with physical therapy may improve walking speed and functional mobility in ambulatory individuals with post-stroke spastic hemiplegia (Francisco, 2003).

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.