Spasticity Flashcards
1
Q
Result from the release of intact ____ _____ in the CNS, unable to providing ____ and _____ below level of injury
A
- Reflex Arcs
- Control
- Inhibition
2
Q
Characteristics of Spasticity
A
- Hyperonicity
- Hyperactive Stretch Reflexes (DTR)
- Clonus
- Babinski
- Typically occurs below the level of the lesion after spinal shock subsides
- Gradually increases fro approximately 6 months
- Usually plateaus within 1 year post injury
3
Q
Factors that contribute to Spasticity
A
- Positioning
- Cutaneous Stimulation
- Environmental Temperatures
- Tight clothing
- Bladder or Kidney Stones
- Fecal Impactions
- Catheter Blockage
- UTI
- Decubitus Ulcers
- Emotional Stress
4
Q
Management if spasticity interferes with funtion
A
- Inhibition techniques
- Oral Med’s
- Intrathecal Baclofen Pump
- Individual Nerve blocks with phenol injections
- Botulinum Toxin
- Surgical Approaches
- BladderDysfunction
5
Q
Oral Medications
A
- mm relaxants and anti-spasmodic agents
- Valium
- Lioresal
- Dantrium
- Catapres
- Not always successful so must weigh side effects verse improved function
6
Q
Valium
A
- Diazepam
7
Q
Lioresal
A
- Baclofen
8
Q
Dantrium
A
- Dantrolene Sodium
9
Q
Catapres
A
- Clonidine
10
Q
Intrathecal Baclofen Pump
A
- More effective for LE Spasticity than UE
- Baclofen is delivered directly into the spinal canal, which allows for a lower dosage
- More permanent abatement of spasticity
11
Q
Individual nerve blocks with phenol injections can provide?
A
- 3 to 6 months relief
12
Q
Botulinum Toxin
A
- A botox can be injected directly into mm causing temporary local paralysis
13
Q
Surgical Approaches
A
- Myotomy
- Neurectomy
- Tentomy
- Rhizotomy
- Myelotomy
14
Q
Myotomy
A
- Sectioning or release of a mm
15
Q
Neurctomy
A
- A partial or complete severance of a nerve
