Physical and occupational therapy considerations in adult patients receiving botulinum toxin injections for spasticity.
Physical and occupational therapists play important roles in the evaluation and management of patients receiving botulinum toxin injections for spasticity. Baseline evaluation includes areas beyond the muscles being injected, since local spasticity reduction may lead to more widespread functional changes. Because the evaluation itself influences tone, a consistent order of muscle evaluation is recommended. The range of preinjection assessments includes evaluation of tone, mobility, strength, balance, endurance, assistive devices, and others. After injection, therapeutic interventions have multiple aims, including strengthening and facilitation, increasing range of motion, retraining of ambulation and gait, improving the fit and tolerance of orthoses, and improved functioning in ADLs.
Albany
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Worldwide Education and Awareness for Movement Disorders, Mount Sinai Medical Center, New York, NY 10029, USA.
D000328:Adult; D018726:Anti-Dyskinesia Agents / Q000008:administration & dosage*; D001905:Botulinum Toxins / Q000008:administration & dosage*; D006801:Humans; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000209:etiology / Q000534:rehabilitation; D009468:Neuromuscular Diseases / Q000150:complications / Q000188:drug therapy* / Q000534:rehabilitation; D009788:Occupational Therapy
D018726:Anti-Dyskinesia Agents; D001905:Botulinum Toxins