When is a physical and occupational therapy evaluation of spasticity indicated?

Updated: Mar 01, 2018
  • Author: Krupa Pandey, MD; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Physical and occupational therapists play important roles in the management of patients with spasticity. Patients who are candidates for treatment with botulinum toxin injections need baseline evaluations that include areas beyond the muscles being injected, since reduction of local spasticity may lead to more widespread functional changes. Assessments should include evaluation of tone, mobility, strength, balance, endurance, and the need, if any, for assistive devices. A videotape of the baseline examination is of considerable help.


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