Local Spinal Therapy Of Spasticity

Author : Hermann Müller
Publisher : Springer Science & Business Media
ISBN 13 : 3642729541
Total Pages : 357 pages
Book Rating : 4.46/5 ( download)

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Download or read book Local-spinal Therapy of Spasticity written by Hermann Müller and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: Historical photograph of spinal anaesthesia In 1884 the American neurologist J. L. eases. His discovery, however, marks the Corning, by blocking the neural con onset of the era of regional anaesthesia. It took almost one hundred years until his duction to the hind extremities of a dog by injecting cocaine-solution into the lumbar original idea of "local medication of the vertebral interspace, was the first to per cord" was again reconsidered due to two form spinal (or epidural?) anaesthesia [1]. reasons: At that time, he was unaware of the local I. The discovery of different drug receptors anaesthetic properties of cocaine (dis in the spinal cord made it possible, by in covered in the same year by C. Koller, who trathecal injection (or epidural appli cation, if the drug penetrates the dura), applied cocaine to the eye of one of his pa tients [3]) and did not intend to introduce to alter nociceptive or motor transmis an anaesthetic procedure. Corning's pri sion within the spinal cord. mary aim was the application of drugs in 2. Implantable devices for long-term appli proximity of the central nervous system, i. e. cation of drugs to specific sites of the spinal cord, in order to treat or even heal body, including the spinal spaces, were developed during the 1970's.

Author : Janet M. Gianino
Publisher : Springer Science & Business Media
ISBN 13 : 1461223482
Total Pages : 175 pages
Book Rating : 4.81/5 ( download)

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Download or read book Intrathecal Drug Therapy for Spasticity and Pain written by Janet M. Gianino and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical manual for nurses and physician assistants using this new technology, supplying them with the information necessary to utilise it effectively, including pump mechanics and the pharmacology of drug delivery. This is the only book of its kind, and its users at over 100 facilities have relied solely on the pump manufacturers manuals. The authors are from a leading centre for research and application of these pumps and, working with Dr. Richard Penn, have spent years developing their skills - Dr. Penn has personally implanted over 3,000 pumps.

Author : Marc P. Sindou
Publisher : Springer Science & Business Media
ISBN 13 : 3709167086
Total Pages : 322 pages
Book Rating : 4.83/5 ( download)

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Download or read book Neurosurgery for Spasticity written by Marc P. Sindou and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Spasticity is one of the commonest sequelae of neurological disease and during the last few years many advances have been made in the treatment of this complaint by functional neurosurgery. This book ... will appeal to neurosurgeons, orthopaedic surgeons and neurologists amongst others.” Annals of the Royal College of Surgeons of England

Author : Valerie Stevenson
Publisher : CRC Press
ISBN 13 : 0203090543
Total Pages : 210 pages
Book Rating : 4.41/5 ( download)

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Download or read book Spasticity Management written by Valerie Stevenson and published by CRC Press. This book was released on 2006-07-26 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spasticity is a common symptom seen in many neurological conditions notably head injury, spinal cord injury, stroke, cerebral palsy and multiple sclerosis. It is also the dominant feature in a number of rarer conditions such as tropical and hereditary spastic paraparesis (HSP). The fact that it is relevant to many chronic neurological conditions and that the absence of multi-disciplinary input can result in progressive disability, ensures spasticity management is a prominent feature in the current National Service Framework (NSF) for long term neurological conditions. In the future more long-term care for such patients will be done in primary care and the community. It is therefore essential that a multi-disciplinary approach is used with successful liaison between secondary, primary and social care. Optimum management of spasticity is dependent on an understanding of its underlying physiology, an awareness of its natural history, an appreciation of the impact on the patient and a comprehensive approach to minimising that impact which is both multi-disciplinary and consistent over time. Regrettably, these essential requirements are rarely met and consequently, inadequately managed spasticity results in a range of painful and disabling sequelae, which, with the right approach, are, for the most part, preventable. Although there are several excellent publications looking at this area, none are a truly practical guide relevant to all members of the multi-disciplinary team involved in spasticity management. Anyone who has been involved in setting up a new service knows how difficult and how protracted a process this can be and if it has been done before, why reinvent it? The basis of this manual is to collect together the experience and knowledge of such a team who have worked in this area for 10 years now. It pulls together all areas including how to set up and develop a service as well as useful management strategies. On a practical note it includes complete copies of all of our patient information, assessment proformas, protocols for different interventions, nursing care plans and an integrated care pathway for outpatient spasticity management both as hard copy but also on CD-ROM to aid in reproduction. These protocols are of course specific to our team but could easily be adapted for use in other centres. We are not saying this is the 'right' or only way to run a spasticity service and there is certainly room for improvement, but we hope by sharing our experience we can help others to develop their own service thus improving management for all individuals with spasticity.

Author : David A. Gelber
Publisher : Springer Science & Business Media
ISBN 13 : 1592590926
Total Pages : 321 pages
Book Rating : 4.26/5 ( download)

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Download or read book Clinical Evaluation and Management of Spasticity written by David A. Gelber and published by Springer Science & Business Media. This book was released on 2001-11-02 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: David A. Gelber, MD, and Douglas R. Jeffery, MD, have assembled a much-needed collection of authoritative review articles discussing the pathophysiology of chronic neurologic spasticity and detailing its often complex medical and surgical management. Written by leading experts in neurology and rehabilitation, the book covers physical and occupational therapy, splinting and orthotics, electrical stimulation, orthopedic interventions, nerve blocks, the use of botulinum toxin, and novel treatments such as tizanidine, intrathecal medications, and neurosurgical techniques. The contributors also review coordinated approaches to the treatment of spasticity and specific neurological diseases such as spinal cord injury, multiple sclerosis, stroke, cerebral palsy, and traumatic brain injury.

Author : Valerie L. Stevenson
Publisher : CRC Press
ISBN 13 : 0429586019
Total Pages : 325 pages
Book Rating : 4.19/5 ( download)

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Download or read book Spasticity Management written by Valerie L. Stevenson and published by CRC Press. This book was released on 2016-04-27 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spasticity is a common symptom that arises in a wide range of neurological conditions. Unfortunately, a poor understanding and inadequate management of spasticity often results in it having a greater impact on patients than necessary. Using a multidisciplinary approach, Spasticity Management: A Practical Multidisciplinary Guide provides the essenti

Author : Allison Brashear, MD
Publisher : Springer Publishing Company
ISBN 13 : 1617052426
Total Pages : 568 pages
Book Rating : 4.22/5 ( download)

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Download or read book Spasticity, Second Edition written by Allison Brashear, MD and published by Springer Publishing Company. This book was released on 2015-12-09 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the first edition, Spasticity: Diagnosis and Management has been the defining reference and go-to source for physicians, therapists, and other healthcare providers who care for patients with spasticity. For this new updated edition, Dr. Brashear and a diverse team of specialists have come together to integrate new research, clinical trials, measurement tools, therapies, and other recent advances that reflect this evolving field. The book is organized into four sections, each of which covers a broad scope of material. The first is a general overview of spasticity and its effects on movement in patients. Other chapters cover epidemiology and ancillary findings commonly associated with spasticity. Part II details assessment tools and measurements, treatment goals, and how to aim for realistic outcomes. Part III outlines various treatment modalities, including heavily updated chapters on the use of botulinum toxin in the upper and lower extremities, guidance techniques for injections, intrathecal baclofen, neuromodulation, surgery, physical therapy, and more. The last section, which contains several new chapters, discusses evaluation of outcomes and management of patients with stroke, traumatic brain injury, spinal cord injuries, multiple sclerosis, cerebral palsy, and cancer, followed by chapters on spasticity management in long-term care facilities and economic considerations. This book remains the most comprehensive guide to diagnosis and management of spasticity in adults and children, and the revised second edition will continue to serve as an invaluable resource for professionals in any discipline who strive to provide quality care to spasticity patients. Key Features: Revised edition of the premier clinical reference on spasticity Incorporates the latest advances in assessment and treatment Contains six entirely new chapters highlighting key topics including Tardieu scale and other measurement tools, ultrasound guidance for botulinum toxin management, spasticity in special populations, emerging therapies, and economic impact More than 200 figures and 70 tables accompany the updated text

Author : Valerie Stevenson
Publisher : CRC Press
ISBN 13 : 0203090543
Total Pages : 210 pages
Book Rating : 4.41/5 ( download)

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Download or read book Spasticity Management written by Valerie Stevenson and published by CRC Press. This book was released on 2006-07-26 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spasticity is a common symptom seen in many neurological conditions notably head injury, spinal cord injury, stroke, cerebral palsy and multiple sclerosis. It is also the dominant feature in a number of rarer conditions such as tropical and hereditary spastic paraparesis (HSP). The fact that it is relevant to many chronic neurological conditions and that the absence of multi-disciplinary input can result in progressive disability, ensures spasticity management is a prominent feature in the current National Service Framework (NSF) for long term neurological conditions. In the future more long-term care for such patients will be done in primary care and the community. It is therefore essential that a multi-disciplinary approach is used with successful liaison between secondary, primary and social care. Optimum management of spasticity is dependent on an understanding of its underlying physiology, an awareness of its natural history, an appreciation of the impact on the patient and a comprehensive approach to minimising that impact which is both multi-disciplinary and consistent over time. Regrettably, these essential requirements are rarely met and consequently, inadequately managed spasticity results in a range of painful and disabling sequelae, which, with the right approach, are, for the most part, preventable. Although there are several excellent publications looking at this area, none are a truly practical guide relevant to all members of the multi-disciplinary team involved in spasticity management. Anyone who has been involved in setting up a new service knows how difficult and how protracted a process this can be and if it has been done before, why reinvent it? The basis of this manual is to collect together the experience and knowledge of such a team who have worked in this area for 10 years now. It pulls together all areas including how to set up and develop a service as well as useful management strategies. On a practical note it includes complete copies of all of our patient information, assessment proformas, protocols for different interventions, nursing care plans and an integrated care pathway for outpatient spasticity management both as hard copy but also on CD-ROM to aid in reproduction. These protocols are of course specific to our team but could easily be adapted for use in other centres. We are not saying this is the 'right' or only way to run a spasticity service and there is certainly room for improvement, but we hope by sharing our experience we can help others to develop their own service thus improving management for all individuals with spasticity.

Author : Ivano Dones
Publisher : Cambridge Scholars Publishing
ISBN 13 : 152753328X
Total Pages : 144 pages
Book Rating : 4.88/5 ( download)

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Download or read book The Diagnosis and Treatment of Spasticity written by Ivano Dones and published by Cambridge Scholars Publishing. This book was released on 2019-04-16 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume is an updated practical guide to the diagnosis and treatment of spasticity, authored by experienced physicians with different specialties. It will help both GPs and specialists, through its provision of a number of tips and tricks to safely provide patients with the most convenient treatment of their spasticity.

Author : Alfred F. Thilmann
Publisher : Springer Science & Business Media
ISBN 13 : 3642783678
Total Pages : 467 pages
Book Rating : 4.78/5 ( download)

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Download or read book Spasticity written by Alfred F. Thilmann and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past 10-20 years there has been an explosion of work on the disturbance of motor control that is manifested as "spasticity." This work has been based on new insights from animal experiments into the basis of normal motor control and the development of experimental techniques that could be used in patients with neurological disturbances. For this reason, on the initiative of Alfred Thilmann, the editors of this volume organized a workshop on spasticity, held in Essen, Germany, in November, 1992. The intention of the meeting was to bring together leading scientists in an atmosphere that would generate discussion and hopefully consensus and ideas for future work. The attendance was restricted and deliberately selective, with a mix of basic scientists, clinical scientists and practicing clinicians. The product of their presentations and deliberations is this volume. The book is organized in the same sequence as the workshop, so that the discussion sessions could be summarized by the appropriate chairman.