Spasticity management: An overview

被引:75
作者
Goldstein, EM
机构
[1] Childrens Healthcare Atlanta, Scottish Rite Childrens Med Ctr, Child Neurol Associates, Spast Treatment Ctr, Atlanta, GA 30342 USA
[2] Childrens Healthcare Atlanta, Scottish Rite Childrens Med Ctr, Muscular Dystrophy Assoc Clin, Atlanta, GA 30342 USA
关键词
D O I
10.1177/088307380101600104
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Recent developments in therapeutic interventions for children with spasticity have complicated managerial decision making. A simplified paradigm for the pathophysiology of spasticity is presented, which emphasizes the ways in which treatment modalities disrupt hyperexcitable segmental spinal reflex arcs. Various techniques for the management of spasticity are reviewed, along with factors relevant to proper patient selection for therapeutic intervention. Potential goals for spasticity management are considered as are outcome measures for assessing the efficacy of these technologies.
引用
收藏
页码:16 / 23
页数:8
相关论文
共 53 条
[1]
ALBRIGHT AL, 1995, PEDIATR NEUROSURG, V23, P82
[2]
Baclofen in the treatment of cerebral palsy [J].
Albright, AL .
JOURNAL OF CHILD NEUROLOGY, 1996, 11 (02) :77-83
[3]
Intrathecally administered baclofen for treatment of children with spasticity of cerebral origin [J].
Armstrong, RW ;
Steinbok, P ;
Cochrane, DD ;
Kube, SD ;
Fife, SE ;
Farrell, K .
JOURNAL OF NEUROSURGERY, 1997, 87 (03) :409-414
[4]
Safety and efficacy of NeuroBloc (botulinum toxin type B) in type A-resistant cervical dystonia [J].
Brin, MF ;
Lew, MF ;
Adler, CH ;
Comella, CL ;
Factor, SA ;
Jankovic, J ;
O'Brien, C ;
Murray, JJ ;
Wallace, JD ;
Willmer-Hulme, A ;
Koller, M .
NEUROLOGY, 1999, 53 (07) :1431-1438
[5]
Brindley WJ, 1997, J THERM SPRAY TECHN, V6, P3, DOI 10.1007/BF02646305
[6]
Brunstrom JE, 1999, CURRENT MANAGEMENT IN CHILD NEUROLOGY, P163
[7]
THE EFFECTS OF INTRATHECALLY ADMINISTERED BACLOFEN ON FUNCTION IN PATIENTS WITH SPASTICITY [J].
CAMPBELL, SK ;
ALMEIDA, GL ;
PENN, RD ;
CORCOS, DM .
PHYSICAL THERAPY, 1995, 75 (05) :352-362
[8]
Carroll KL, 1998, J PEDIATR ORTHOPED, V18, P69
[9]
Selective dorsal rhizotomy and rates of orthopedic surgery in children with spastic cerebral palsy [J].
Chicoine, MR ;
Park, TS ;
Kaufman, BA .
JOURNAL OF NEUROSURGERY, 1997, 86 (01) :34-39
[10]
Predictors of ability to walk after selective dorsal rhizotomy in children with cerebral palsy [J].
Chicoine, MR ;
Park, TS ;
Vogler, GP ;
Kaufman, BA .
NEUROSURGERY, 1996, 38 (04) :711-714