Spasticity in post-stroke patients: incidence and therapeutical approach
Stroke is a leading cause of serious long-term disability: about one third of patients developing spasticity of the affected limbs. Spasticity is characterized by a velocity-dependent increase in resistance to passive movement, and is one of the “positive signs” of upper motor neuron syndrome. Spa...
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Romanian Association of Balneology, Editura Balneara
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doaj-8b1c5c303da84974bd5645bc5f9713b62020-11-25T02:00:59ZengRomanian Association of Balneology, Editura BalnearaBalneo Research Journal2069-75972069-76192018-12-019440641010.12680/balneo.2018.221Spasticity in post-stroke patients: incidence and therapeutical approachIoana Stanescu0Gabriela Dogaru1Angelo Bulboaca2Dana Fodor3Adriana Bulboaca4“Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-Napoca“Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-Napoca“Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-Napoca“Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-Napoca“Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-NapocaStroke is a leading cause of serious long-term disability: about one third of patients developing spasticity of the affected limbs. Spasticity is characterized by a velocity-dependent increase in resistance to passive movement, and is one of the “positive signs” of upper motor neuron syndrome. Spasticity induces pain, ankylosis, tendon retraction, increasing motor deficit, which may limit the efficacy of rehabilitation methods . Spasticity is also correlated with activity limitations, and reduces quality of life of patients and caregivers. Assessment of post-stroke spasticity requires first clinical examination; scales as Ashworth Modifyed scale and Tardieu Modifyed scale are useful quantitative tools. Treatment of spasticity is often challenging for the rehabilitation team, requiring a multidisciplinary approach. Therapeutic interventions include physical therapy, occupational therapy, use of assistive devices, pharmacological treatment and injectable treatment. Botulinum toxin injections in spastic upper and lower limb muscles have significant effect in reducing muscle tone and improving passive function in affected limbs, and should also be considered for improvement of active function.http://bioclima.ro/Balneo221.pdfspasticitystrokerehabilitationbotulinum toxin |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ioana Stanescu Gabriela Dogaru Angelo Bulboaca Dana Fodor Adriana Bulboaca |
spellingShingle |
Ioana Stanescu Gabriela Dogaru Angelo Bulboaca Dana Fodor Adriana Bulboaca Spasticity in post-stroke patients: incidence and therapeutical approach Balneo Research Journal spasticity stroke rehabilitation botulinum toxin |
author_facet |
Ioana Stanescu Gabriela Dogaru Angelo Bulboaca Dana Fodor Adriana Bulboaca |
author_sort |
Ioana Stanescu |
title |
Spasticity in post-stroke patients: incidence and therapeutical approach |
title_short |
Spasticity in post-stroke patients: incidence and therapeutical approach |
title_full |
Spasticity in post-stroke patients: incidence and therapeutical approach |
title_fullStr |
Spasticity in post-stroke patients: incidence and therapeutical approach |
title_full_unstemmed |
Spasticity in post-stroke patients: incidence and therapeutical approach |
title_sort |
spasticity in post-stroke patients: incidence and therapeutical approach |
publisher |
Romanian Association of Balneology, Editura Balneara |
series |
Balneo Research Journal |
issn |
2069-7597 2069-7619 |
publishDate |
2018-12-01 |
description |
Stroke is a leading cause of serious long-term disability: about one third of patients developing spasticity of the affected limbs.
Spasticity is characterized by a velocity-dependent increase in resistance to passive movement, and is one of the “positive signs” of
upper motor neuron syndrome. Spasticity induces pain, ankylosis, tendon retraction, increasing motor deficit, which may limit the
efficacy of rehabilitation methods . Spasticity is also correlated with activity limitations, and reduces quality of life of patients and
caregivers. Assessment of post-stroke spasticity requires first clinical examination; scales as Ashworth Modifyed scale and Tardieu Modifyed scale are useful quantitative tools. Treatment of spasticity is often challenging for the rehabilitation team, requiring a multidisciplinary approach. Therapeutic interventions include physical therapy, occupational therapy, use of assistive devices,
pharmacological treatment and injectable treatment. Botulinum toxin injections in spastic upper and lower limb muscles have
significant effect in reducing muscle tone and improving passive function in affected limbs, and should also be considered for
improvement of active function. |
topic |
spasticity stroke rehabilitation botulinum toxin |
url |
http://bioclima.ro/Balneo221.pdf |
work_keys_str_mv |
AT ioanastanescu spasticityinpoststrokepatientsincidenceandtherapeuticalapproach AT gabrieladogaru spasticityinpoststrokepatientsincidenceandtherapeuticalapproach AT angelobulboaca spasticityinpoststrokepatientsincidenceandtherapeuticalapproach AT danafodor spasticityinpoststrokepatientsincidenceandtherapeuticalapproach AT adrianabulboaca spasticityinpoststrokepatientsincidenceandtherapeuticalapproach |
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1724959553108312064 |