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

More documents

Recommendations

Info

Electrical StimulationHigh Frequency Stimulation• Usually applied to the spasticmuscles• No muscle contraction• Produce a tingling sensationMechanisms:1. Decrease pain ( gate theory),thereby decreasing spasticity2. Decrease motoneuronalexcitability ( increased H-reflexlatency)3. Potential effects on corticalfunctionLow Frequency Stimulation• Applied to the antagonistmuscles• Supramaximal intensity to causemuscle contractionMechanisms1. Reciprocal reflex inhibition todecrease spasticity in the spasticmuscle2. Improve the strength of theantagonist muscle , therebyimproving function
Botulinum toxin acts at Neuromuscular junction1:presynaptic terminal2:sarcolemma3:synaptic vesicles4:Acetylcholine receptors5:mitchondrionMotor end plates
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 and 26: Carer Burden ScalePassive Functions
Page 27 and 28: Management Strategy Set the goalsfi
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: Stretch for the treatment andpreven
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 !

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

Create successful ePaper yourself

Delete template?

Save as template?