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Journal of Child Neurology
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Physical Management of Spasticity

Patty Helsel

Department of Rehabilitation Services, Shands Hospital at the University of Florida, Gainesville, FL

Jennifer McGee

Department of Rehabilitation Services, Shands Hospital at the University of Florida, Gainesville, FL

Chantal Graveline

Department of Rehabilitation Services, The Hospital for Sick Children, Toronto, ON

Physical management of people with spasticity is a complex task requiring the collaborative work of a multidisciplinary team. This article reviews some of the most commonly used treatment techniques and theories that lay the framework for the physical management of spasticity. Most crucial to the management of the person with spasticity is the skillful application of the techniques and theories discussed. Given the complexity in the standardized evaluation of children with spasticity, it is recommended that existing outcome measures or standardized scales be applied wherever possible as an adjunct tool to the clinician's assessment and interventions. One must recognize the benefits of such scales and their limitations. Therefore, it is recommended that further development of standardized assessments be supported by funding agencies to develop both quantitative and qualitative measurement tools that will address the particular needs of the person with spasticity. Review of the literature supports the many interventions that are listed; however, further research is recommended by the consensus group. (J Child Neurol 2001;16:24-30).

Journal of Child Neurology, Vol. 16, No. 1, 24-30 (2001)
DOI: 10.1177/088307380101600105
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