MedStar Authors catalog › Details for: 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.
Citation: Archives of Physical Medicine & Rehabilitation. 2018 Feb 08.Journal: Archives of physical medicine and rehabilitation.Published: 2018ISSN: 0003-9993.Full author list: Lanig I; New P; Burns AS; Bilsky G; Benito-Penalva J; Bensmail D; Yochelson M.UI/PMID: 29428347.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar National Rehabilitation NetworkActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access onlineDigital Object Identifier: https://dx.doi.org/10.1016/j.apmr.2018.01.017 (Click here)Abbreviated citation: Arch Phys Med Rehabil. 2018 Feb 08.Local Holdings: Available online from MWHC library: 2000 - present, Available in print through MWHC library:1999-2007.Abstract: 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.Abstract: Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.