A CLINICAL OVERVIEW OF TREATMENT DECISIONS IN THE MANAGEMENT OF SPASTICITY

Spasticity from an upper motor neuron syndrome may cause a variety of symptoms that interfere with function. Decisions regarding spasticity treatment are influenced by the chronicity, severity and distribution of the spasticity: the locus of injury; the presence and severity of c o-morbidities; the availability of support; and the goals of treatment . Not all spasticity can or even should be treated; tone reduction is indicated only if spasticity interferes with some level of function. p ositioning, care, or comfort. Treatment goals should be well outlined before treatment begins. Botulinum toxin may be used to treat focal sp asticity as part of an overall treatment plan. (C) 1997 John Wiley & S ons, Inc.