Physical therapy is one part of the armoury in the fight against this disabling symptom of the upper motor neurone syndrome. Identifying the physiological changes brought about by physical therapy or physiother
Therapeutic interventions (physical therapy, occupational therapy, hippotherapy, aquatics) and physical modalities (ultrasonography, electrical stimulation, biofeedback) [4, 5] Positioning/orthotics (including taping, dynamic and static splints, wheelchairs, and standers) Oral medications (such as lioresal,...
In recent years, a range of non-pharmacological interventions has been used to manage spasticity. These include: physical interventions (stretching, passive movements); transcutaneous electricnerve stimulation(TENS);transcranial direct current stimulation(tDCS);shockwave; vibratory stimulation (whole-body vibr...
Conclusions: There is a clear need for new larger multicentre well-designed clinical trials with a duration that allows the persistence of the effects and the long-term safety of the interventions to be evaluated.doi:10.1111/ene.14110G. Comi...
What are effective interventions for preventing and managing skeletal muscle spasticity in TBI? Searches for evidence mapping: effective, shorter, cheaper Ashworth Scales are unreliable for the assessment of muscle spasticity. Physiotherapy Theory and Practice, 22, 119-125. Clinical measurement of limb ...
Several systematic reviews have concluded that spasticity reduction and improvement in the range of movement is observed in stroke survivors with the applications of neuromuscular electrical stimulation, combined with other interventions.33 Other methods, such as extracorporeal shock wave therapy, transcranial...
There is “low level” evidence for physical activity programs used in isolation or in combination with other interventions (pharmacological or non-pharmacological), and for repetitive magnetic stimulation (iTBS/rTMS) with or without adjuvant exercise therapy in improving spasticity in adults with MS. ...
These guidelines recommend that management of moderate to severe spasticity include the use of botulinum toxin type A in addition to physical therapy interventions [13]. Unfortunately, clinical survey data suggests that occupational therapists and physiotherapists report providing therapy post-botulinum ...
Interventions are generally aimed at improving function and cosmoses by spasticity management, preventing contractures and correcting established deformities. Treatment objectives vary according to each child and range from static correction of deformities to ease nursing care, to improvement in dynamic ...
Such interventions might target spasticity of the legs for improving spatial and temporal parameters of gait with downstream effects on performance and self-reported, physiological, and free-living measures of ambulation. Overall, we report that leg spasticity was present in more than half of the ...