Stroke and Brain Injury
Episodes
Wednesday Mar 12, 2025
Wednesday Mar 12, 2025
EPISODE TITLE: Tackling Spasticity Part 2
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about spasticity. We covered:
- Strategies for addressing spasticity, how to descriptions and rationale for use
- Difference between spasticity management and spasticity treatment
- Specific techniques discussed
- Stretching
- Weight Bearing
- Splinting
- Intentional muscle fatigue
- Proprioceptive Neuromuscular Facilitation (PNF) Principles
- Neuromodulators
- Surgery
- Cryoneurolysis
- Enzyme treatment-clinical trials ongoing
- Visualization & Mirror Therapy
- Extra corporeal shock wave therapy
- Focused waves-sends waves into small area
- Radial waves-delivers shock waves into broader areas
- Contraindications to use
- Adverse effects-transient discomfort, swelling, bruising
- Works well in conjunction with neuromodulator use
- Importance of interdisciplinary communication & using clinical communication notes
- Spasticity & contracture predictors using traffic light system
We hope you enjoyed this episode of Noggins And Neurons and found the information shared helpful. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
Almufarah, Kausar, Humayun, & Tehsin (2023). Leveraging motor imagery rehabilitation for individuals with disabilities: A review. Healthcare, 11, 1-17. https://doi.org/10.3390/healthcare11192653. https://www.mdpi.com/journal/healthcare
Bavikatte, Subramanian, Ashford, Allison & Hicklan (2021). Early identification and management of post-stroke spasticity: Expert consensus recommendations. Journal of Central Nervous System Disease, 13, 1-8.
Brusola*, Garcia, Albosta, Daly, Kafes & Furtado (2023). Effectiveness of physical therapy interventions on post-stroke spasticity: An umbrella review.
Guo, Hai & Ma (2022). Application of extracorporeal shockwave therapy in nervous system diseases: A review. Frontiers in Neurology DOI 10.3389/fneur.2022.963849
Guo, Gao, Zhao, Sun, Wang & Li (2017). Positive effects of extracorporeal shock wave therapy on spasticity in post stroke patients: A meta-analysis. Journal of Stroke and Cerebrovascular Diseases, Vol. 26, No. 11 (November), 2017: pp 2470–2476
Li (2017). Spasticity, motor recovery, and neural plasticity after stroke. Frontiers in Neurology, 8, 120; 1-7. doi: 10.3389/fneur.2017.00120.
Martinez, Sempere-Rubio, Navarro & Faubel (2021). Effectiveness of shock wave therapy as a treatment for spasticity: A systematic review. Brain Sciences, 11, 15-18. https://dx.doi.org/10.3390/brainsci11010015.
Poveda-Garcia, Moret-Tatay & Gomez-Martinez (2021). The association between mental motor imagery and real movement in stroke. Healthcare, 9, 1568; 1-11. https://doi.org/10.3390/healthcare9111568
Spasticity: Can Anything Be Done. Blog article by Peter G. Levine
Suputtitada, Chatromyen, Chen & Simpson (2024). Best practice guidelines for the management of patients with post-stroke spasticity: A modified scoping review. Toxins, 16, 98. https://doi.org/10.3390/toxins16020098
THERAPY PRACTICE RESOURCES:
NEW RESOURCES
- Secondary Stoke Prevention Info Graphic
- Homonymous Hemianopia Flyer
- For academic use: N & N Podcast Instructor Guides:
- Impact of Psychosocial Factors on Stroke Recovery
- Factors Affecting Stroke Recovery
- Stroke Recovery Along the Continuum of Care
- Sensory Recovery
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide
- PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
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