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Cryoneurotomy to reduce spasticity and improve range of motion in spastic flexed elbow. A visual vignette.

Video Author: Paul Winston
Published on: 10.19.2020
Associated with: American Journal of Physical Medicine & Rehabilitation. 99(3S):a1-a376, March 2020

Cryoneurotomy is a novel percutaneous treatment of spasticity. A retrospective chart review identified 11 patients with chronic flexed-elbow spasticity, who received a diagnostic nerve block (DNB) and demonstrated increased range of motion and/or reduced spasticity. All patients subsequently received cryoneurotomy of the musculocutaneous nerve branch to the brachialis muscle and 3 patients had an additional radial nerve cryoneurotomy to the brachioradialis muscle. Manual and video evaluations took place before and after DNB, and at least 5 months post-cryoneurotomy (mean 12.5 months). This video vignette demonstrates the reproduction of the DNB effects and changes to spasticity and range of motion.

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Cryoneurotomy to reduce spasticity and improve range of motion in spastic flexed elbow. A visual vignette.
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Cryoneurotomy is a novel percutaneous treatment of spasticity. A retrospective chart review identified 11 patients with chronic flexed-elbow spasticity, who received a diagnostic nerve block (DNB) and demonstrated increased range of motion and/or reduced spasticity. All patients subsequently received cryoneurotomy of the musculocutaneous nerve branch to the brachialis muscle and 3 patients had an additional radial nerve cryoneurotomy to the brachioradialis muscle. Manual and video evaluations took place before and after DNB, and at least 5 months post-cryoneurotomy (mean 12.5 months). This video vignette demonstrates the reproduction of the DNB effects and changes to spasticity and range of motion.
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