Cambridge.University.Press.Upper.Motor.Neurone.Syndrome.and.Spasticity.Clinical.Management.and.Neurophysiology.Jun.2008.pdf

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Cambridge.University.Press.Upper.Motor.Neurone.Syndrome.and.Spasticity.Clinical.Management.and.Neurophysiology.Jun.2008. This page intentionally left blankUpper Motor Neurone Syndromeand SpasticitySecond EditionUpper MotorNeuroneSyndrome andSpasticityClinical Management andNeurophysiologySecond EditionEdited byMichael P. BarnesProfessor of Neurological RehabilitationWalkergate Park International Centrefor Neurorehabilitation and NeuropsychiatryNewcastle upon Tyne, UKGarth R. JohnsonProfessor of Rehabilitation EngineeringCentre for Rehabilitation and Engineering Studies (CREST)School of Mechanical and Systems EngineeringNewcastle UniversityNewcastle upon Tyne, UKCAMBRIDGE UNIVERSITY PRESSCambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São PauloCambridge University PressThe Edinburgh Building, Cambridge CB2 8RU, UKFirst published in print formatISBN-13 978-0-521-68978-6ISBN-13 978-0-511-39699-1© Cambridge University Press 20082008Information on this title: www.cambridge.org/9780521689786This publication is in copyright. Subject to statutory exception and to the provision of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press.Cambridge University Press has no responsibility for the persistence or accuracy of urls for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate.Published in the United States of America by Cambridge University Press, New Yorkwww.cambridge.orgeBook (NetLibrary)paperbackContentsList of Contributors page viiPreface to the second edition ix1 An overview of the clinical managementof spasticity 1Michael P. Barnes2 Neurophysiology of spasticity 9Geoff Sheean3 The measurement of spasticity 64Garth R. Johnson and Anand D. Pandyan4 Physiotherapy management ofspasticity 79Roslyn N. Boyd and Louise Ada5 Seating and positioning 99Craig A. Kirkwood and Geoff I. Bardsley6 Orthoses, splints and casts 113Paul T. Charlton and Duncan W. N. Ferguson7 Pharmacological management ofspasticity 131Anthony B. Ward and Sajida Javaid8 Chemical neurolysis in themanagement of muscle spasticity 150A. Magid O. Bakheit9 Spasticity and botulinum toxin 165Michael P. Barnes and Elizabeth C. Davis10 Intrathecal baclofen for the control ofspinal and supraspinal spasticity 181David N. Rushton11 Surgical management of spasticity 193Patrick Mertens and Marc Sindou12 Management of spasticity in children 214Rachael Hutchinson and H. Kerr GrahamIndex 241vContributorsLouise AdaAssociate ProfessorDiscipline of PhysiotherapyUniversity of SydneySydney, AustraliaA. Magid O. BakheitProfessor of Neurological RehabilitationDepartment of Rehabilitation MedicineMount Gould HospitalPlymouth, UKGeoff I. BardsleySenior Rehabilitation EngineerWheelchair & Seating ServiceTayside Rehabilitation Engineering ServicesNinewells HospitalDundee, UKMichael P. BarnesProfessor of Neurological RehabilitationWalkergate Park International Centre forNeurorehabilitation and NeuropsychiatryNewcastle upon Tyne, UKRoslyn N. BoydAssociate ProfessorScientific DirectorQueensland Cerebral Palsy and RehabilitationResearch CentreDepartment of Paediatrics and Child HealthUniversity of QueenslandBrisbane, AustraliaPaul T. CharltonSenior OrthotistJ. C. Peacock & SonNewcastle upon Tyne, UKElizabeth C. DavisConsultant in Rehabilitation MedicineWalkergate Park International Centre forNeurorehabilitation and NeuropsychiatryNewcastle upon Tyne, UKDuncan W. N. FergusonSenior OrthotistJ. C. Peacock & SonNewcastle upon Tyne, UKH. Kerr GrahamProfessor of Orthopaedic SurgeryRoyal Children’s HospitalMelbourne, AustraliaRachael HutchinsonConsultant Paediatric Orthopaedic SurgeonNorfolk and Norwich University Hospital NHS TrustNorfolk, UKSajida JavaidSpecialist Registrar in Rehabilitation MedicineNorth Staffordshire Rehabilitation CentreUniversity Hospital of North StaffordshireStoke-on-Trent, UKviiviii ContributorsGarth R. JohnsonProfessor of Rehabilitation EngineeringCentre for Rehabilitation and Engineering Studies(CREST)School of Mechanical and Systems EngineeringNewcastle UniversityNewcastle upon Tyne, UKCraig A. KirkwoodSenior Rehabilitation EngineerWheelchair & Seating ServiceTayside Rehabilitation Engineering ServicesNinewells HospitalDundee, UKPatrick MertensProfessor of NeurosurgeryHˆopital Neurologique et Neuro-Chirurgical PierreWertheimerLyon, FranceAnand D. PandyanSchool of Health & Rehabilitation/Institute for LifeCourse StudiesKeele UniversityStaffordshire, UKDavid N. RushtonConsultant in Neurological RehabilitationFrank Cooksey Rehabilitation UnitKings College HospitalLondon, UKGeoff SheeanProfessorDepartment of NeurosciencesUniversity of California – San Diego MedicalCentreSan Diego, California, USAMarc SindouProfessor of NeurosurgeryHˆopital Neurologique et Neuro-Chirurgical PierreWertheimerLyon, FranceAnthony B. WardConsultant in Rehabilitation MedicineNorth Staffordshire RehabilitationCentreUniversity Hospital of North StaffordshireStoke-on-Trent, UK . intentionally left blank Upper Motor Neurone Syndromeand SpasticitySecond Edition Upper MotorNeuroneSyndrome andSpasticityClinical Management andNeurophysiologySecond. coherent context.Definitions of spasticity and the uppermotor neurone syndromeSpasticity has been given a fairly strict and nar-row physiologically based
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