Overview of Spasticity in Elderly Patients - The Hong Kong Geriatrics ...

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Active FunctionsGlobal measures --- rarely sensitiveBarthel Index or the Functional Independence Measures(FIM)Focal motor function testsUpper limb:• Frenchay arm test• Action research arm test• Nine-hole peg testLower limb:• functional ambulation category•10 m walking time, or six minute walking distance ( to capturefatigue)• gait analysis
Management Strategy Set the goalsfirstSpasticity in adults: Management Using Botulinum Toxins. National Guidelines. Royal College of Physicians. January 2009.
Page 1: Overview of Spasticity inElderly Pa
Page 4 and 5: Spasticity is part of theUMN syndro
Page 6: Classification of the forms of musc
Page 10 and 11: Skin Macerations
Page 12: Difficulty in basic lower limb care
Page 15 and 16: Measurement Methods of SpasticitySp
Page 21 and 22: Modifed Ashworth Scale• Extend el
Page 23 and 24: 3 Velocities of StretchV1: As slow
Page 25: Carer Burden ScalePassive Functions
Page 29 and 30: Approaches to physical therapy Neur
Page 31 and 32: Hypothesis:Bobath Approach A neurol
Page 33 and 34: Bobath Concept in strokerehabilitat
Page 35 and 36: Cognitive Approach This involves th
Page 37 and 38: SplintsDynamic SplintStatic Splint
Page 39 and 40: Stretch for the treatment andpreven
Page 41 and 42: Botulinum toxin acts at Neuromuscul
Page 43 and 44: Safety profile of BoNT Type AWissel
Page 45 and 46: Safety profile of BoNT Type A (cont
Page 47 and 48: Endplate targeting injectionIn theo
Page 49 and 50: Anatomical study to identify motore
Page 51 and 52: Endplate targeting injection forfor
Page 53 and 54: Motor Points of ForearmRoberts C,J
Page 55 and 56: Motor Points of HamstringsSeidel PM
Page 57 and 58: Botulinum toxin dilution and endpla
Page 59 and 60: RCT on use of BoNT in long-termcare
Page 61 and 62: Phenol-Mechanism of action• Immed
Page 63 and 64: Phenol: Adverse Effects(2) Phenol a
Page 65 and 66: RCT on use of Phenol in long termca
Page 67: Thank You !

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