title: [Peripheral nerves alcoholization in the spasticity managament].
abstract: BACKGROUND
  Spasticity is velocity dependent increased resistance to passive lengthening of the muscle. Mild spasticity doesn't require treatment, but severe impede with hygiene, constrict range of motion and mobility, interfere with gait pattern and can be the cause of pain and discomfort. Proper spasticity management is crucial for correct rehabilitation.
  
  
  OBJECTIVE
  The assesment of chemodenervation with ethyl alcohol in spasticity treatment.
  
  
  METHODS
  13 patients (5 female, 8 male) age 18-68 yrs (mean 46,8±13,3). Qualification to the procedure requiered high level of spasticity (mean 3,4 ± 0,5 in Ashworth scale), no response for pharmacological treatment, low level in Bartel scale. Patients were evaluated with VAS pain scale, EQ-5D before, day after and 6 weeks after procedure.
  
  
  RESULTS
  Ashworth scale before procedure: 3-4 (mean 3.44±0.52), after procedure: 0-3 (mean 2.0±1.26), 6 weeks after procedure: 1-3 (mean 2.0±1.0). VAS before procedure: 0-4 (mean 1.49±1.9), after procedure: 0-2 (mean 1.33±1.0), 6 weeks after procedure (mean 1.0±1.0). Bartel scale before procedure: 0-16 (mean 9.25±6.7), after procedure: 0-16 (mean 6.0±8.71), 6 weeks after procedure: 0-16 (mean 9.25±6.7). EQ-5D results showed on Fig 5-19.
  
  
  CONCLUSIONS
  Results shows improvement in every examinated aspect (decrease in spasticity level, decrease in pain, increase in quality of life and disability scale).
authors.affiliation: Katedra i Klinika Rehabilitacji i Ortopedii, Uniwersytet Medyczny, Lublin, e-mail: karolina.turzanska@gmail.com.
authors.forename: Karolina
authors.initials: K
authors.lastname: Turżańska
authors.affiliation: Katedra i Klinika Rehabilitacji i Ortopedii, Uniwersytet Medyczny, Lublin.
authors.forename: Sławomir
authors.initials: S
authors.lastname: Zaborek
authors.affiliation: Katedra i Klinika Rehabilitacji i Ortopedii, Uniwersytet Medyczny, Lublin.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Posturzyńska
authors.affiliation: Katedra i Klinika Rehabilitacji i Ortopedii, Uniwersytet Medyczny, Lublin.
authors.forename: Joanna
authors.initials: J
authors.lastname: Niezbecka
authors.affiliation: Katedra i Klinika Rehabilitacji i Ortopedii, Uniwersytet Medyczny, Lublin.
authors.forename: Aneta
authors.initials: A
authors.lastname: Zarębska
authors.affiliation: Katedra i Klinika Rehabilitacji i Ortopedii, Uniwersytet Medyczny, Lublin.
authors.forename: Mirosław
authors.initials: M
authors.lastname: Jabłoński
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000431:Ethanol / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009121:Muscle Denervation; D009128:Muscle Spasticity / Q000188:drug therapy / Q000534:rehabilitation / Q000628:therapy*; D010147:Pain Measurement; D010525:Peripheral Nerves / Q000187:drug effects*; D011044:Poland; D011788:Quality of Life; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000431:Ethanol
keywords: chemodenervation; ethyl alcohol; spasticity