THE CLINICAL MANAGEMENT OF SPASTICITY

Spasticity remains a common and challenging problem for patient and practitioner. Understanding of the complex pathophysiology of this disorder, despite recent advances, remains incomplete. Although newer pharmacologic agents and recently introduced technologic procedures have benefited many patients with spasticity, truly safe and effective therapeutic regimens remain elusive. A balanced approach to the problem, utilizing appropriate medication in conjunction with surgical therapy for refractory cases, is warranted. Adjunctive measures, orthopedic intervention and physical therapy modalities, often combined in a multidisciplinary setting, offer substantial opportunity for a favorable outcome.