EPISODE TITLE: Tackling Spasticity Part 2
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about spasticity. We covered:
Strategies for addressing spasticity, how to descriptions and rationale for useDifference between spasticity management and spasticity treatmentSpecific techniques discussedStretchingWeight BearingSplintingIntentional muscle fatigueProprioceptive Neuromuscular Facilitation (PNF) PrinciplesNeuromodulatorsSurgeryCryoneurolysisEnzyme treatment-clinical trials ongoingVisualization & Mirror TherapyExtra corporeal shock wave therapyFocused waves-sends waves into small areaRadial waves-delivers shock waves into broader areasContraindications to useAdverse effects-transient discomfort, swelling, bruisingWorks well in conjunction with neuromodulator useImportance of interdisciplinary communication & using clinical communication notesSpasticity & contracture predictors using traffic light systemWe hope you enjoyed this episode of Noggins And Neurons and found the information shared helpful. As always, we want to hear from you! Email us at [email protected]
Almufarah, Kausar, Humayun, & Tehsin (2023). Leveraging motor imagery rehabilitation for individuals with disabilities: A review. Healthcare, 11, 1-17. https://doi.org/10.3390/healthcare11192653. https://www.mdpi.com/journal/healthcare
Bavikatte, Subramanian, Ashford, Allison & Hicklan (2021). Early identification and management of post-stroke spasticity: Expert consensus recommendations. Journal of Central Nervous System Disease, 13, 1-8.
Brusola*, Garcia, Albosta, Daly, Kafes & Furtado (2023). Effectiveness of physical therapy interventions on post-stroke spasticity: An umbrella review.
Guo, Hai & Ma (2022). Application of extracorporeal shockwave therapy in nervous system diseases: A review. Frontiers in Neurology DOI 10.3389/fneur.2022.963849
Guo, Gao, Zhao, Sun, Wang & Li (2017). Positive effects of extracorporeal shock wave therapy on spasticity in post stroke patients: A meta-analysis. Journal of Stroke and Cerebrovascular Diseases, Vol. 26, No. 11 (November), 2017: pp 2470–2476
Li (2017). Spasticity, motor recovery, and neural plasticity after stroke. Frontiers in Neurology, 8, 120; 1-7. doi: 10.3389/fneur.2017.00120.
Martinez, Sempere-Rubio, Navarro & Faubel (2021). Effectiveness of shock wave therapy as a treatment for spasticity: A systematic review. Brain Sciences, 11, 15-18. https://dx.doi.org/10.3390/brainsci11010015.
Poveda-Garcia, Moret-Tatay & Gomez-Martinez (2021). The association between mental motor imagery and real movement in stroke. Healthcare, 9, 1568; 1-11. https://doi.org/10.3390/healthcare9111568
Spasticity: Can Anything Be Done. Blog article by Peter G. Levine
Suputtitada, Chatromyen, Chen & Simpson (2024). Best practice guidelines for the management of patients with post-stroke spasticity: A modified scoping review. Toxins, 16, 98. https://doi.org/10.3390/toxins16020098
THERAPY PRACTICE RESOURCES:
Secondary Stoke Prevention Info GraphicHomonymous Hemianopia FlyerFor academic use: N & N Podcast Instructor Guides:Impact of Psychosocial Factors on Stroke RecoveryFactors Affecting Stroke RecoveryStroke Recovery Along the Continuum of CareSensory RecoveryBeyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)The OT's Guide to Mirror TherapyOccupational Therapy Intervention: Scavenger Hunt Visual Scanning for AdultsOccupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for AdultsNoggins And Neurons Podcast Creative Learning & Discussion GuidePETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:Blog: blogspot.comBook: Stronger After Stroke, 3rd editionDORO’S OT PRACTICE – The Neuro Hub
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