Week 4.7 Spasticity Management Flashcards
what are some assessments we can use for spasticity
ashworth modified ashworth tardieu scale Oswestry scale spasm frequency scale tone assessment
what are the stages of the ashworth scale
0: no increased tone
1: slight increase in tone, by catch and release with minimal resistance at end of ROM
2: marked increase in tone through most of the range, affected parts easily moved
3: considerable increase in muscle tone, PROM is hard
4: affected parts in rigid flexion or extension
what is the modified ashworth scale
0: no increase in tone
1: slight increase in tone, catch and release, end ROM
1+: slight increase in muscle tone, catch, and minimal resistance throughout the last half of the ROM
2: more increase in ton3
3: considerable increase in tone
4: affected parts in rigid flexion or extension
Tardieu scale
looks at spasticity and R1 and R2
what is the spasm frequency scale
0: no spasms
1: spasms induced only by stimulation
2: spasms occurring less than once an hour
3: spasms occurring between 1 and 10 times
4: spasms occurring more than 10 times per hour
what are some impairments we asses with spasticity
PROM, AROM, muscle length
strength,
sensation
what are some activity and function things we need to assess with spasticity
gait, transfers, ADL and w/c mobility
can spasticity be helpful
yes! with bone density
what do we want to do with flexibility for spasticity
maintain and improve it
what kind of rehab things do we want to do with spasticity patients
maintaining and improving flexibility, strengthening, WB, function, education, appropriate referrals for medical interventions
what kind of stretching do we need for spasticity
low, long prolonged stretch, positioning, casting and splinting.
what kind of muscles do we need to pay special attention to with spasticity patients and flexibility
2 joint muscles
what kind of ROM is best, PROM, AROM
AROM
does stretching help spasticity
yes!
is stretching the ankle joint good for spasticity patients
yes! that is a critical joint!
