Spasticity after stroke: Physiology, assessment and treatment

This review missed the objective diagnosis of spasticity.

quantitative measure of muscle spasticity

Elbow spasticity during passive stretch-reflex: clinical evaluation using a wearable sensor system

 

 

Bobath is mentioned as a treatment when it has been proven not to work.

 Bobath should  have been shitcanned since 2003.

My best therapist supposedly used it but I really think her competence came from her knowledge of anatomy.

Physiotherapy Based on the Bobath Concept for Adults with Post-Stroke Hemiplegia: A Review of Effectiveness Studies 2003

 

Also missed pelvic floor stimulation: 

Apparatus for reduction of spasticity in male and female patients having spinal cord injury as well as obtaining semen from males by stimulation of ejaculatory nerves

No mention of Sativex: Sativex Helps ALS, PLS Spasticity in Mid-Stage Trial

Or this:Oral Cannabis Spray Relieves Spasticity in Motor Neuron Disease

Or canabis use:

Summary of evidence-based guideline: Complementary and alternative medicine in multiple sclerosis - cannabis use

Bad mentorship here, retraining needed. 

Spasticity after stroke: Physiology, assessment and treatment

 Aurore Thibaut
1
, Camille Chatelle
1
, Erik Ziegler
2
, Marie-Aure´lie Bruno
1
, Steven Laureys
1
, & Olivia Gosseries
1
1
Coma Science Group, Cyclotron Research Centre, University and University Hospital of Lie`ge, Lie`ge, Belgium and
 2
Cyclotron Research Centre,University of Lie`ge, Lie`ge, Belgium
Abstract
Background
: Spasticity following a stroke occurs in about 30% of patients. The mechanisms underlying this disorder, however, are not well understood.
Method
: This review aims to define spasticity, describe hypotheses explaining its development after a stroke, give an overview of related neuroimaging studies as well as a description of themost common scales used to quantify the degree of spasticity and finally explore which treatments are currently being used to treat this disorder.
Results
: The lack of consensus is highlighted on the basis of spasticity and the associated absence of guidelines for treatment, use of drugs and rehabilitation programmes.
Conclusions
: Future studies require controlled protocols to determine the efficiency of pharmacological and non-pharmacological treatments for spasticity. Neuroimaging may help predict the occurrence of spasticity and could provide insight into its neurological basis. 

More at link.