Spasticity after stroke: physiology, assessment and treatment.

Abstract:

BACKGROUND:Spasticity following a stroke occurs in about 30% of patients. The mechanisms underlying this disorder, however, are not well understood. METHOD:This review aims to define spasticity, describe hypotheses explaining its development after a stroke, give an overview of related neuroimaging studies as well as a description of the most common scales used to quantify the degree of spasticity and finally explore which treatments are currently being used to treat this disorder. RESULTS:The lack of consensus is highlighted on the basis of spasticity and the associated absence of guidelines for treatment, use of drugs and rehabilitation programmes. CONCLUSIONS:Future studies require controlled protocols to determine the efficiency of pharmacological and non-pharmacological treatments for spasticity. Neuroimaging may help predict the occurrence of spasticity and could provide insight into its neurological basis.

journal_name

Brain Inj

journal_title

Brain injury

authors

Thibaut A,Chatelle C,Ziegler E,Bruno MA,Laureys S,Gosseries O

doi

10.3109/02699052.2013.804202

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

1093-105

issue

10

eissn

0269-9052

issn

1362-301X

journal_volume

27

pub_type

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