POSTSTROKE SPASTICITY: STATE-OF-THE-ART, TREATMENT METHODS


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Poststroke spastic paresis is one of the leading causes of disability in adult patients. The paper gives data on the pathogenesis of poststroke spasticity, main approaches to the clinical evaluation and correction of this phenomenon and considers the possibilities of using the currently available drugs.

Full Text

Restricted Access

About the authors

E. Katushklna

I.M. Sechenov First Moscow State Medical University

Email: adres.elina@gmail.com
Candidate of Medical Sciences, Professor; A.Ya. Kozhevnikov Clinic of Nervous Diseases

O. Zinovyeva

I.M. Sechenov First Moscow State Medical University

A.Ya. Kozhevnikov Clinic of Nervous Diseases

References

  1. Ryu J., Lee J., Lee S. et al. Factors predictive of spasticity and their effects on motor recovery and functional outcomes in stroke patients // Top Stroke Rehabil. - 2010; 17: 380-8.
  2. Francisco G., McGuire J. Poststroke spasticity management // Stroke. -2012; 43 (1): 3132-6.
  3. Sommerfeld D., Eek E., Svensson A. Spasticity after stroke: its occurrence and association with motor impairments and activity limitations // Stroke. - 2004; 35: 134-9.
  4. Egen-Lappe V., Köster I., Schubert I. Incidence estimate and guideline-oriented treatment for post-stroke spasticity: an analysis based on Germanstatutory health insurance data // Int. J. Gen. Med. - 2013; 6: 135-44.
  5. Gracies J., Bayle N., Vinti M. et al. Five-step clinical assessment in spastic paresis // Eur. J. Phys. Rehabil. Med. - 2010; 46: 411-21.
  6. Blicher J., Jakobsen J., Andersen G. et al. Cortical excitability in chronic stroke and modulation by training: a TMS study // Neurorehabil. Neural. Repair. -2009; 23: 486-93.
  7. Gracies J. Pathophysiology of spastic paresis. I: Paresis and soft tissue changes // Muscle Nerve. - 2005; 31: 535-51.
  8. Lotze M., Markert J., Sauseng P. et al. The role of multiple contralesional motor areas for complex hand movements after internal capsular lesion // J. Neurosci. - 2006; 26: 6096-102.
  9. Зиновьева О.Е., Катушкина Э.А., Яхно Н.Н. и др. Изменения скелетных мышц при постинсультной спастичности // Неврол. журн. - 2011; 4: 19-26.
  10. Bakheit A., Maynard V., Curnow J. et al. The relation between Ashworth scale scores and the excitability of the alpha motor neurones in patients with poststroke muscle spasticity // J. Neurol. Neurosurg. Psychiatry. - 2003; 74: 646-8.
  11. Воробьева О.В. Нарушение мышечного тонуса в постинсультном периоде: вопросы терапии // Consilium IVIedicum. - 2004; 6 (12): 943-7.
  12. Pantano P., Formisano R., Ricci M. et al. Motor recovery after stroke. Morphological and functional brain alterations. // Brain. - 1996; 119: 1849-57.
  13. Graham L. Management of spasticity revisited // Age Ageing. - 2013; 42 (4): 435-41.
  14. Кадыков А.С., Шахпаронова Н.В. Реабилитация после инсульта // Лечащий врач. - 2002; 01 (2): 1-3.
  15. Matsumoto S., Kawahira K., Etoh S. еt al. Short-term effects of thermotherapy for spasticity on tibial nerve F-waves in post-stroke patients // Int. J. Biometeorol. - 2006; 50 (4): 243-50.
  16. Fink M., Rollnik J., Bijak M. et al. Needle acupuncture in chronic poststroke leg spasticity // Arch. Phys. Med. Rehabil. - 2004; 85 (4): 667-72.
  17. Posteraro F., Mazzoleni S., Aliboni S. et al. Upper limb spasticity reduction following active training: a robot-mediated study in patients with chronic hemiparesis // J. Rehabil. Med. - 2010; 42 (3): 279-81.
  18. Barry M., Bunday K., Chen R. et al. Selective effects of baclofen on use-dependent modulation of GABA-B inhibiti.on after tetraplegia // J. Neurosci. - 2013; 33 (31): 12898-907.
  19. Intrathecal baclofen pump for spasticity: an evidence-based analysis // Health Quality Ontario. Ont. Health. Technol. Assess. Ser. - 2005; 5 (7): 1-93.
  20. Francisco G. The role of intrathecal baclofen therapy in the upper motor neuron syndrome // Eura Medicophys. - 2004; 40 (2): 131-43.
  21. Saval A., Chiodo A. Intrathecal baclofen for spasticity management: a comparative analysis of spasticity of spinal vs cortical origin // J. Spinal Cord Med. - 2010; 33 (1): 16-21.
  22. Simon O., Yelnik A. Managing spasticity with drugs // Eur. J. Phys. Rehabil. Med. - 2010; 46 (3): 401-10.
  23. Парфенов В.А. Ведение больных со спастичностью // Рус. мед. журн. -2004; 12 (10): 595-8.
  24. Клюшников С.А., Иллариошкин С.Н., Иванова-Смоленская И.А. Спастический синдром в неврологии. Возможности толперизона (Мидокалма) в терапии спастических проявлений нейроваскулярных синдромов // Атмосфера. Нервные болезни. - 2009; 3: 39-44.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2014 Russkiy Vrach Publishing House