痉挛症状管理

Symptom Management: SpasticityRob Gross, MDAssistant Professor, Department of NeurologyUniversity of Colorado Anschutz Medical CampusApril 6th, 2024Disclosures•No relevant disclosuresWhat is spasticity?•Muscle tightness, stiffness, cramping, or spasms•Can lead to contractures, pain, limited range of motion, and reduced function•Due to damage to descending upper motor neuron pathways•Seen in MS, TBI, stroke, CP, and other conditionsWhat isn’t spasticity?•Weakness•Numbness•Rigidity•SeizureGrading SpasticityFactors that worsen spasticity•Illness•Elevated body temperature•Stress•Certain movements or position changes•Pain•ConstipationMedical Treatment of Spasticity•Things to do at home•Physiotherapy•Oral muscle relaxants•Intrathecal baclofen•Botox injections•Rhizotomy or other surgical interventionsMild to Moderate SevereCannabinoids?TMS??Things to do at home•Stretching•Heat•IcePhysiotherapy•Physical therapy•Occupational therapy•Dry needling•Acupuncture•Electrical stimulationOral Ant