17 - Chronic Spasticity Flashcards Preview

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Flashcards in 17 - Chronic Spasticity Deck (8):
1

non-pharms?

-daily stretching and range of movement exercises
-braces to maintain a spastic limb in place
-surgery for the most refractory cases

2

Treatment is split up into two categories, what are they?

-generalized spasticity
-focal spasticity

3

List some options for generalized spasticity

-baclofen
-tizanidine
-BZD - more so for spasms at night
-cannabis
-dantrolene
-gabapentin

4

Cannabis is approved for spasticity in patients with ___

MS

5

Cannabis is also approved for _____ _____

neuropathic pain

6

What advantage does tizanidine have over baclofen?

no decrease in muscle strength (major a/e of baclofen)

7

Can give these drugs _____ to reduce side effects from oral administration

intrathecally

8

2 options for focal spasticity

-botox injections (onabotulinumtoxinA) q 3 months
-phenol injections q 6 months

*physical therapy should follow injections for max benefit

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