Concise and accessible, Handbook of Spasticity is the essential reference for residents and practicing physicians in the fields of PM&R and neurology. It allows readers to learn the fundamentals of spasticity management while also adding important spasticity concepts to their day-to-day practice. This high-yield resource provides current evidence-based treatment paradigms and discusses advances in the field to address assessment, treatment options, and disease management in both adult and pediatric patients. Written by experts from institutions around the world, this valuable handbook fuses the fundamentals of spasticity with a case-based approach to enhance learning for those early into their career as well as practicing physiatrists, neurologists, nurses, physician assistants, and therapists who care for patients with spasticity. Assessment and evaluation measures are detailed, focusing on measurements and scales, gait assessment, and techniques for setting appropriate goals. A wide variety of treatment options available for spasticity patients are explored, including physical therapy, pharmacologic and non-pharmacologic treatments, emerging technologies, toxins, surgical options, and more. Complete with accompanying online videos, ultrasound and anatomical figures, and toxin dosing tables, Handbook of Spasticity is the premier one-stop-shop resource on how to improve spasticity management. Key Features: Succinctly covers key spasticity definitions, assessment scales, treatment options, and disease management for a wide range of conditions Provides the latest guidelines and evidence-based practices in the field Features contributions from leading clinicians and educators in physiatry and neurology Case-based chapters and accompanying online video content showcase patient assessment in real-world settings Includes images for ultrasound guidance and anatomical correlates and tables with dosing guidance for toxins
Monica Verduzco-Gutierrez, MD is Professor and Chair of the Department of Physical Medicine and Rehabilitation at the Long School of Medicine, UT Health San Antonio, in San Antonio, Texas. Nicholas C. Ketchum, MD is Associate Professor and Residency Program Director of the Department of Physical Medicine and Rehabilitation at the Medical College of Wisconsin in Milwaukee, Wisconsin.
PART I: WHAT IS SPASTICITY? Chapter 1. Definition: Spasticity and Upper Motor Neuron Syndrome Chapter 2. Epidemiology of Spasticity Chapter 3. Pathophysiology PART II: ASSESSMENT AND EVALUATION Chapter 4. Measurements and Scales Chapter 5. Evaluation and Treatment of Spastic Gait Chapter 6. Management of Post-Stroke Spasticity with Botulinum Toxin Type A Based on Patient-Centered Treatment Goals PART III: PRINCIPLES OF TREATMENT Chapter 7. Physical Therapy Chapter 8. Pharmacologic Treatments Chapter 9. Toxins Chapter 10. Neurolysis Chapter 11. Intrathecal Baclofen Therapy Chapter 12. Surgical Treatments and Neuro-Orthopaedics Chapter 13. Emerging Technologies Chapter 14. Imaging Guidance for Chemodenervation Procedures PART IV: DISEASE MANAGEMENT: A CASE-BASED APPROACH Chapter 15. Cerebral Palsy Assessment: Nonsurgical and Surgical Treatments Chapter 16. Diagnostic Anesthetic Blocks: Differentiating Contracture from Spasticity Chapter 17. Spasticity in Spinal Cord Injury Chapter 18. Post-Stroke Spasticity Chapter 19. Brain Injury Related Spasticity: A Case-Based Approach Chapter 20. Upper Limb Spasticity with Botulinum Neurotoxin Chapter 21. Lower Limb Spasticity Management with Botulinum Neurotoxin Chapter 22. Chemoneurolysis Chapter 23. Intrathecal Therapy for Spasticity Chapter 24. Combining Spasticity Interventions Index
