2nd Edition

Spasticity Management
A Practical Multidisciplinary Guide, Second Edition

ISBN 9781482299526
Published April 19, 2016 by CRC Press
304 Pages 76 B/W Illustrations

USD $99.95

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Book Description

Spasticity is a common symptom that arises in a wide range of neurological conditions. Unfortunately, a poor understanding and inadequate management of spasticity often results in it having a greater impact on patients than necessary.

Using a multidisciplinary approach, Spasticity Management: A Practical Multidisciplinary Guide provides the essential knowledge for the effective management of spasticity as well as the practical tools for developing wide-ranging services.

In line with the previous edition, this book emphasises the importance of all team members being involved in educating the individual with spasticity and, if appropriate, their carers and families. Thoroughly updated, this edition discusses new medications available for spasticity management, increased coverage of postural management via occupational therapy input, and pragmatic guidance using illustrations, algorithms and linkages to real-world clinical practice.

New chapters have been added to address individuals making the transition from paediatric to adult services as well as the provision of optimal end-of-life care. Also included are real-life case studies to emphasise learning points while engaging the reader, making this a valuable guide to any practitioner involved in managing spasticity.

Table of Contents

What Is Spasticity?
Jonathan F. Marsden

Assessment of the Individual with Spasticity
Valerie L. Stevenson, Katrina Buchanan, Elizabeth Keenan and Louise Jarrett

Provision of Education and Promoting Self-Management
Louise Jarrett and Elizabeth Keenan

Physical and Postural Management of Spasticity
Katrina Buchanan and Susan Hourihan

Oral Medication
Valerie L. Stevenson

Focal Treatments, Including Botulinum Toxin
Rachel Farrell and Katrina Buchanan

Intrathecal Baclofen and Phenol
Valerie L. Stevenson, Elizabeth Keenan and Louise Jarrett

Transitioning Young People with Spasticity from Paediatric to Adult Services
Sarah Perides and Margaret Kaminska

End-of-Life Care and Managing Spasticity
Jane Neerkin and David Oliver


Generalised Spasticity Multidisciplinary Proforma

Focal Spasticity Multidisciplinary Proforma

Spasticity Outcome Measures Form

Patient Information - Managing Your Spasticity and Spasms

Patient Information - Managing Spasticity and Spasms with Exercise

Patient Information - How Botulinum Toxin May Help Your Spasticity

Patient Information - How Intrathecal Baclofen May Help to Manage Your Spasticity

Medical Procedure for the Intrathecal Baclofen Trial Injection

Nursing Care Plans for Intrathecal Baclofen Therapy

Competencies for Intrathecal Baclofen Specialist Nurses

Physiotherapy Guidelines for Intrathecal Baclofen Therapy

Surgical Procedure for Intrathecal Baclofen Pump Placement

Refill Procedure for Medtronic Intrathecal Pumps

Patient Information - How Intrathecal Phenol May Help to Manage Your Spasticity

Nursing Care Plan for Intrathecal Phenol Therapy

Palliative Care Narrative

Advance Decision to Refuse Treatment

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Edited by

Valerie L. Stevenson, MD, MRCP (UK), National Hospital for Neurology and Neurosurgery, London, UK

Louise Jarrett, RGN, PhD, Royal Devon and Exeter Hospital NHS Foundation Trust, UK


"This is good as a reference guide for clinicians who like a quick review of spasticity management. A nice feature is the inclusion in most chapters of sections presenting evidence-based data. The second edition is necessary to present up-to-date information such as baclofen pumps and the newer medications to treat spasticity." - Stevenson, Valerie L., MD, MRCP; Jarrett, Louise, BA(Hons), RGN, Doody’s Book Review Service