BRAIN and NERVE Shinkei Kenkyu no Shinpo Volume 66, Issue 9 (September 2014)

Selection of Treatment Modalities in Patients with Spasticity Tetsuo Ota 1 1Department of Physical Medicine & Rehabilitation, Asahikawa Medical University Hospital Keyword: 治療 , リハビリテーション , 痙縮 , ボツリヌス療法 , 装具 , treatment , rehabilitation , spasticity , botulinum toxin therapy , orthosis pp.1031-1038
Published Date 2014/9/1
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Spasticity is the most common abnormality of muscle tone. Typically, oral antispastic drugs, phenol blocks, motor-point blocks, selective dorsal rhizotomies, and selective peripheral neurotomies are used to reduce muscle tone and/or improve ranges of motion. Recently, botulinum toxin injections and intrathecal baclofen have been used as treatment modalities. The selection of the most appropriate treatment modality by doctors treating patients with spasticity is critical. Furthermore, rehabilitation techniques, such as physiotherapy, occupational therapy, therapeutic electrical nerve stimulation, and orthosis, are useful as combination therapy for the treatment of spasticity. The purpose of this study was to outline the various modalities that are currently used for the treatment of spasticity. Regardless of the modality selected, it is imperative that treatment goals are carefully identified. The reduction of spasticity is not an appropriate treatment goal. Appropriate goals include improving gait, activities of daily living, and the quality of life.

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BRAIN and NERVE-神経研究の進歩
66巻9号 (2014年9月)
電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院