Upper Motor Neurone Syndrome and Spasticity: Clinical Management and Neurophysiology

This is a practical reference and guide for physicians, surgeons, therapists, orthotists, bioengineers and other health professionals involved in the management of a disabled individual with upper motor neurone syndrome and spasticity. It is a thorough review, covering all aspects of management from physiotherapy, seating, and orthoses to the use of drugs. It examines the neurophysiology of spasticity, measurement of outcome, and the newer treatment techniques, such as phenol and alcohol nerve blocks and botulinum toxin injections. More invasive procedures, including intrathecal baclofen and surgical intervention for more complex and severe spasticity, are covered in detail, and the final chapter looks closely at the management of spasticity in children.