Following assessment at spasticity clinic a range of other referrals to other professionals could be made for further assessment:
- Occupational Therapy
- Psychology
- Pain clinic
- Work assessment
- Wheelchair service
- Orthoptics
- Podiatry
- Continence service
- Social care services
- Surgical procedures (these are less common in stroke – see additional information box)
Photos are provided with permission from NRS Healthcare: https://www.nrshealthcare.co.uk
Surgical
May be helpful in carefully selected patients with chronic spasticity.
- Realistic goals and expectations are critically important.
- Ongoing physical therapy post-operatively critical to maximise any benefits of the operation.
- No procedure completely eliminates spasticity and it’s effects.
- Operative risks.
Orthopaedic
Treat or relieve conditions arising as a result of spasticity:
- tendon lengthening
- tendon transfer
- tenotomy
- myotomy
- osteotomy
- arthrodesis
Neurosurgical Treatments
- Treat spasticity itself.
- Generally invasive, permanent and irreversible.
- May cause sensory loss or weakness.
-
- rhizotomy
- selective dorsal rhizotomy
- cordotomy
- neurectomy
- myelotomy
Glossary
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Page last reviewed: 06 May 2020
