Avtor/Urednik		Nene, Anand; Campos, Alexandre Rainha; Grabljevec, Klemen; Lopes, Arminda; Skoog, Bengt; Burns, Anthony S.
Naslov		The clinical assessment of spasticity in people with spinal cord damage
Tip		članek
Vol. in št.		Letnik 99, št. 9
Leto izdaje		2018
Obseg		str. 1917-1926
ISSN		0003-9993 - Archives of physical medicine and rehabilitation
Jezik		eng
Abstrakt		A thorough assessment of the extent and severity of spasticity, and its impact on functioning, is central to the effective management of spasticity in persons with spinal cord damage (SCD). These individuals, however, do not always receive adequate assessment of their spasticity. Inadequate assessment compromises management when the impact of spasticity and/or need for intervention are not fully recognized. Assessment is also central to determining treatment efficacy. A barrier to spasticity assessment has been the lack of consensus on clinical and functional measures suitable for routine clinical practice. To extend upon existing work, a working group of the Ability Network identified and consolidated information on possible measures, then synthesized and formulated findings into practical recommendations for assessing spasticity and its impact on function in persons with SCD. Sixteen clinical and functional measures that have been used for this purpose were identified using a targeted literature review. These were mapped to the relevant domains of the International Classification of Functioning, Disability and Health (ICF) to assess the breadth of their coverage; coverage of many domains was found to be lacking, suggesting a focus for future work. The advantages, disadvantages and usefulness of the measures were assessed using a range of criteria, with a focus on usefulness and feasibility in routine clinical practice. Based on this evaluation, a selection of measures suitable for initial and follow-up assessments are recommended. The recommendations are intended to have broad applicability to a variety of healthcare settings where people with SCD are managed.
Proste vsebinske oznake		muscle spasticity spinal cord diseases spinal cord injuries assessment spastičnost poškodbe hrbtenjače bolezni hrbtenjače ocenjevanje