Nonsurgical Treatment Options for Upper Limb Spasticity

Laura Black; Deborah Gaebler-Spira

doi:10.1016/j.hcl.2018.06.003

Nonsurgical Treatment Options for Upper Limb Spasticity

Hand Clin. 2018 Nov;34(4):455-464. doi: 10.1016/j.hcl.2018.06.003. Epub 2018 Aug 18.

Authors

Laura Black¹, Deborah Gaebler-Spira²

Affiliations

¹ Shirley Ryan AbilityLab, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, 355 East Erie Street, 21st Floor, Suite 2127, Chicago, IL 60601, USA. Electronic address: lblack@sralab.org.
² Shirley Ryan AbilityLab, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, 355 East Erie Street, Chicago, IL 60601, USA.

PMID: 30286960
DOI: 10.1016/j.hcl.2018.06.003

Abstract

There are many nonsurgical treatment options for patients with upper limb spasticity. This article presents an algorithmic approach to management, encompassing evidence-based rehabilitation therapies, medications, and promising new orthotic and robotic innovations.

Keywords: Brain injuries; Cerebral palsy; Muscle hypertonia; Muscle spasticity; Occupational therapy; Rehabilitation; Stroke; Upper extremity.

Publication types

Review

MeSH terms

Algorithms
Brain-Computer Interfaces
Humans
Muscle Relaxants, Central / therapeutic use
Muscle Spasticity / physiopathology*
Muscle Spasticity / therapy*
Nerve Block
Neuromuscular Agents / therapeutic use
Orthotic Devices
Physical Therapy Modalities
Robotics
Transcranial Magnetic Stimulation
Upper Extremity / physiopathology*
Virtual Reality

Substances

Muscle Relaxants, Central
Neuromuscular Agents