Optimal management for people with severe spasticity

imal management for people with severe spasticity Review (1037) Total Article Views Authors: Shilt JS, Seibert PS, Kadyan V Published Date October 2012 Volume 2012:2 Pages 133 - 140 DOI: http://dx.doi.org/10.2147/DNND.S16630 Received: 16 February 2012 Accepted: 11 April 2012 Published: 04 October 2012 Jeffrey Shilt,1 Pennie S Seibert,2 Vivek Kadyan1 1Idaho Spasticity Program, Saint Alphonsus Health Systems, Boise, ID, 2Department of Psychology, Boise State University, Boise, ID, USA Abstract: Spasticity is characterized by velocity-dependent increase in tonic stretch reflexes and tendon jerks. Many people affected by spasticity receive late treatment, or no treatment, which greatly reduces the potential to regain full motor control and restore function. There is much to consider before determining treatment for people with spasticity. Treatment of pediatric patients increases the complexity, because of the substantial difference between adult and pediatric spasticity. Proper patient evaluation, utilization of scales and measures, and obtaining patient and caregiver history is vital in determining optimal spasticity treatment. Further, taking into consideration the limitations and desires of individuals serve as a guide to best management. We have grouped contributing factors into the IDAHO Criteria to elucidate a multidisciplinary approach, which considers a person's complete field of experience. This model is applied to goal setting, and recognizes the importance of a spasticity management team, comprising the treatment subject, his/her family, the environment, and a supportive, well-informed medical staff. The criteria take into account the complexity associated with diagnosing and treating spasticity, with the ultimate goal of improved function.