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

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Injection techniques to enhance efficacyof BTX 1) Accurate muscle localisation 2) Motor endplate injection 3) Use a higher dilution of BTX for injection
Endplate targeting injectionIn theory, since the putativesite of action of botulinumtoxin is at the motorendplate, the most effectiveinjection technique is one inwhich the smallest dose andvolume of botulinum toxinis delivered close to the siteof motor endplate
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 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: Safety profile of BoNT Type A (cont
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 ...

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