SPASTICITY-MANAGEMENT ALGORITHM
From NeuroRehab.wiki
SUMMARY
1. Assess for noxious stimuli (pain), infections (UTI, pressure sores), constipation, HO, syringomyelia.
2. History & physical examination: focus on assessing goals, severity of spasticity (using Tardeau or Modified Ashworth scale), muscles involved.
3. Treat above etiological factors.
4. Spasticity treatment options represent a continuum of care (conservative → surgical).
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.
