Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, June 30, 2025

Therapeutic Options and Clinical Considerations in the Management of Spasticity

 I'D HAVE ALL OF YOU FIRED FOR 'MANAGING' SPASTICITY; NOT CURING IT! 

You'll want spasticity cured when you are the 1 in 4 per WHO that has a stroke! And then it will be too late! I shouldn't hope schadenfreude hits you with spasticity, but I'm not that good of a person! So I hope like hell you suffer spasticity, just as much as Dr. William M. Landau with his absolutely idiotic opinions on spasticity!  

His statement from here:

Spasticity After Stroke: Why Bother? Aug. 2004 

Therapeutic Options and Clinical Considerations in the Management of Spasticity


home / peer-exchange / therapeutic-options-and-clinical-considerations-in-the-management-of-spasticity

Four healthcare professionals highlight variation in spasticity presentation and examine options available for management of spasticity. They discuss use of intrathecal baclofen (ITB) for treatment of severe spasticity, candidate patients who are likely to most benefit from ITB use, challenges and recent data with ITB use.

EP. 1: Definition and Pathophysiology of Spasticity
;;Jennifer Smith, PA;Ye Vivian Liang, MD, PhDJune 20th 2024
Video

Khashayar Dashtipour, MD, PhD; Francois Bethoux, MD; Jennifer Smith, PA, and Ye Vivian Liang, MD, PhD offer a comprehensive examination of the underlying mechanisms and physiological processes involved in spasticity.

June 20th 2024
Video

The expert panel examines the evolution of moderate to severe spasticity following injury or insult, focusing on alterations in joint mobility, changes in range of motion from early to later stages, and other progressive manifestations of the condition.

EP. 3: Impact of Spasticity of Patient and Caregiver’s Quality of Life
July 2nd 2024
Video

Key opinion leaders examine the short-term and long-term effects of spasticity on patients' and caregivers' quality of life.

July 9th 2024
Video

A panel of experts discuss variation in spasticity between patients and the role disease severity can play.

EP. 5: Treatment Options for Spasticity
July 9th 2024
Video

A panel of experts discuss treatment options available for spasticity as well as when patients should be treated with pharmacological options.

July 9th 2024
Video

A panel of experts discuss designing treatment plans based on patient goals.

July 23rd 2024
Video

A panel of experts discuss available options for treatment of severe spasticity.

EP. 8: Intrathecal Baclofen for Management of Severe Spasticity
July 23rd 2024
Video

EP. 9: Baclofen Pump for Treatment of Severe Spasticity

A panel of experts discuss ITB use in spasticity treatment.

Khashayar Dashtipour, MD, PhD;Francois Bethoux, MD;Jennifer Smith, PA;Ye Vivian Liang, MD, PhDJuly 23rd 2024
Video

A panel of experts discuss how intrathecal baclofen ITB pumps have changed over time.

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Francois Bethoux, MD;Jennifer Smith, PA;Ye Vivian Liang, MD, PhDJuly 23rd 2024
Video

EP. 10: Managing Safety Concerns with ITB Pump

A panel of experts discuss safety concerns with intrathecal baclofen ITB pumps.

EP. 11: Ideal Candidates for ITB PumpAugust 1st 2024
Video

A panel of experts discuss optimal candidacy considerations for intrathecal baclofen ITB pumps.

EP. 12: Long-term Data with ITB Pumps for Spasticity
August 1st 2024
Video

Key opinion leaders continue a conversation around ITB pumps in spasticity management.

EP. 13: ITB Pump for Spasticity: Surveillance Registry Findings
August 6th 2024
Video

Experts on spasticity discuss how patients do with ITB over the long term, highlighting replacement and discontinuation data from the Product Surveillance Registry.

Khashayar Dashtipour, MD, PhD
;Francois Bethoux, MD;Jennifer Smith, PA;Ye Vivian Liang, MD, PhDAugust 6th 2024
Video

EP. 14: Practical Considerations when Using ITB Pump for Spasticity

Experts on spasticity outline the practical considerations in using ITB therapy, including access, risks, and pump malfunctions.

EP. 15: Potential for Use of ITB Pump Earlier in Spasticity
August 13th 2024
Video

Experts on spasticity discuss the potential use of ITB pumps earlier in therapy to optimize patient outcomes.

Ye Vivian Liang, MD, PhD
August 13th 2024
Video

EP. 16: Trends in Treatment of Spasticity

Experts on spasticity explore real-world outcomes and treatment trends in the disease treatment landscape.

;Ye Vivian Liang, MD, PhDAugust 20th 2024
Video

EP. 17: Advice for Clinicians Treating Spasticity

Experts on spasticity provide advice for practicing clinicians to optimize patient outcomes.

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