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Optimizing the management of spasticity in people with spinal cord damage: a clinical care pathway for assessment and treatment decision-making from the Ability Network, an international initiative.

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Citation: Archives of Physical Medicine & Rehabilitation. 2018 Feb 08PMID: 29428347Institution: MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2018 Local holdings: Available online from MWHC library: 2000 - present, Available in print through MWHC library:1999-2007ISSN:

0003-9993

Name of journal: Archives of physical medicine and rehabilitationAbstract: Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.The recognition, evaluation and management of disabling spasticity in persons with spinal cord damage (SCD) is a challenge for healthcare providers, health systems and patients. To guide the assessment and management of disabling spasticity in individuals with SCD, the Ability Network, an international panel of clinical experts, developed a clinical care pathway. The aim of this pathway is to facilitate treatment decisions that take into account the impact of disabling spasticity on health status, individual preferences and treatment goals, tolerance for adverse events, and burden on caregivers. The pathway emphasizes a patient-centered, individualized approach and the need for interdisciplinary coordination of care, patient involvement in goal setting, and the utilization of assessment and outcome measures that lend themselves to practical application in the clinic. The clinical care pathway is intended for use by healthcare professionals who provide care for persons with SCD and disabling spasticity in a variety of settings. Barriers to optimal spasticity management in these people are also discussed. There is an urgent need for the clinical community to clarify and overcome barriers (knowledge-based, organizational, health-system) to optimizing the management of spasticity in people with SCD.All authors: Benito-Penalva J, Bensmail D, Bilsky G, Burns AS, Lanig I, New P, Yochelson MFiscal year: FY2018Digital Object Identifier:

https://dx.doi.org/10.1016/j.apmr.2018.01.017

Date added to catalog: 2018-02-20

Holdings ( 1 )
Title notes ( 4 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	29428347	Available		29428347

Available online from MWHC library: 2000 - present, Available in print through MWHC library:1999-2007

The recognition, evaluation and management of disabling spasticity in persons with spinal cord damage (SCD) is a challenge for healthcare providers, health systems and patients. To guide the assessment and management of disabling spasticity in individuals with SCD, the Ability Network, an international panel of clinical experts, developed a clinical care pathway. The aim of this pathway is to facilitate treatment decisions that take into account the impact of disabling spasticity on health status, individual preferences and treatment goals, tolerance for adverse events, and burden on caregivers. The pathway emphasizes a patient-centered, individualized approach and the need for interdisciplinary coordination of care, patient involvement in goal setting, and the utilization of assessment and outcome measures that lend themselves to practical application in the clinic. The clinical care pathway is intended for use by healthcare professionals who provide care for persons with SCD and disabling spasticity in a variety of settings. Barriers to optimal spasticity management in these people are also discussed. There is an urgent need for the clinical community to clarify and overcome barriers (knowledge-based, organizational, health-system) to optimizing the management of spasticity in people with SCD.

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