How to assess and measure for spasticity, options for intervention and ideas for early training to reduce secondary complications
The upper limb can sometimes take a lower priority in the early stages following stroke or head injury. The focus of the patient as well as hospital staff is usually to become mobile and return home. The best place for any patient is within their own environment so to facilitate this there is a tendency for the physiotherapists to concentrate on mobility and transfers with the Occupational therapists busy enabling activities of daily living and setting up the home environment. Often it is not until later on when the patient is attending an outpatient or outreach service that they ask about their upper limb and if anything can be done to 'make it work'. At this time the limb can be showing signs of recovery but it is stiff and sometimes painful. So what can we do in the early stages to help reduce stiffness and manage spasticity and what can we do to help the patient help themselves.
Course Outline
- Assessment and measurement of spasticity
- Pathophysiology of spasticity
- Management strategy - physical and medical intervention
- Giving feedback when training - how much is enough
- Attentional focus and implications for training