What is included in the long-term monitoring of spasticity?

Updated: Jun 28, 2019
  • Author: Krupa Pandey, MD; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Because tolerance can occur with medications, drug dosages should regularly be reviewed and implantable devices (pumps, stimulators) should be checked.

Ongoing documentation of compliance with therapeutic interventions and evaluation of orthotic or positioning devices is important.

Children with spasticity should be monitored regularly for onset of orthopedic or other abnormalities, because rapid growth may result in permanent contractures, scoliosis, or loss of function.

If spasticity worsens, caregivers may have difficulty transferring patients safely or providing adequate hygiene and general care. Recognizing caregiver difficulties and intervening to educate and help caregivers ensure that patients receive proper care.

Monitoring skin integrity is essential in patients with spasticity, because pressure ulcers can lead to sepsis and death.

Overly aggressive surgical lengthening of severe contractures should be avoided because compression or overstretch injuries to the nerves and arteries of the limb may occur.


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