Watanabe T: The Role of therapy in spasticity management. Am J Phys Med Rehabil 2004;83(suppl):S45–S49.
A number of different therapy interventions and modalities have been utilized in spasticity management. There is significant variation in the use of these therapies, which is often due to experience that the treating clinicians have with one type or another. Given the lack of well controlled studies, it is difficult to take an evidence-based approach regarding the use of these interventions at this time. This article examines the physiologic basis for the more common therapy interventions in the management of spasticity and discusses some of the literature that may help guide the clinician in choosing among these options.
From the Department of Physical Medicine and Rehabilitation, University of Cincinnati Medical Center; The Neuroscience Institute; and Drake Center, Cincinnati, OH.
Presented, in part, at the Spasticity Management Conference, Cincinnati, Ohio, April 4, 2003.
All correspondence and requests for reprints should be addressed to Thomas Watanabe, MD, University of Cincinnati Medical Center, P. O. Box 670530, Cincinnati, OH 45267-0530.