Muscle Overactivity in the Upper Motor Neuron Syndrome: Conceptualizing a Treatment Plan and Establishing Meaningful Goals

Anne Felicia Ambrose, Tanya Verghese, Carolin Dohle, Jennifer Russo

Research output: Contribution to journalReview article

Abstract

Spasticity is a major physical complication of many neurologic and traumatic conditions of the brain and spine and can lead to muscle contracture, joint stiffness, reduced range of movement, skin breakdown, and pain. The management of spasticity includes a range of pharmacologic and nonpharmacologic interventions, often used in combination to optimize outcomes. However, it is important to identify and prioritize the patient's and clinician's goals, in order to create common attainable goals. These goals should be reviewed and revised at regular intervals.

Original languageEnglish (US)
Pages (from-to)483-500
Number of pages18
JournalPhysical Medicine and Rehabilitation Clinics of North America
Volume29
Issue number3
DOIs
StatePublished - Aug 2018

Fingerprint

Motor Neurons
Muscles
Contracture
Nervous System
Spine
Therapeutics
Joints
Pain
Skin
Brain

Keywords

  • Goal setting
  • Muscle overactivity
  • Spasticity
  • Treatment goals

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

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AB - Spasticity is a major physical complication of many neurologic and traumatic conditions of the brain and spine and can lead to muscle contracture, joint stiffness, reduced range of movement, skin breakdown, and pain. The management of spasticity includes a range of pharmacologic and nonpharmacologic interventions, often used in combination to optimize outcomes. However, it is important to identify and prioritize the patient's and clinician's goals, in order to create common attainable goals. These goals should be reviewed and revised at regular intervals.

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