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Management of spasticity in children

Management of spasticity in children

Management of spasticity in children

... causes of spasticity in children are acquired brain injury and spinal cord injury. Table 12.1 shows the cause of spasticity in a consecutive sample of 341 children seen in a variety of clinics ... relaxation in the target area, providing a ‘window of opportu- nity’ for a focused programme of splinting, casting, gait training and strengthening of antagonist mus- cles. Children with mild spasticity ... child, we combine Management of spasticity in children 229 Management Algorithm : Equinus Maintenance PT/Orthotics/Night Splinting Spastic equinus/dynamic shortening No Fixed Equinus No No No...
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Guidance for National Tuberculosis Programmes on the management of tuberculosis in children pptx

Guidance for National Tuberculosis Programmes on the management of tuberculosis in children pptx

... disease. The management of children with TB should be in line with the Stop TBStrategy, taking into consideration the particular epi-demiology and clinical presentation of TB in children. The International ... formulations anddosing of first- and second-line TB drugs in children. DIAGNOSIS OF TUBERCULOSIS IN CHILDREN The diagnosis of TB in children relies on careful andthorough assessment of all the evidence ... need to be incorpo-rated into existing guidelines and strategies that havebeen developed by NTPs. Reducing the burden of TB in children will require changing and improving manyexisting practices,...
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An overview of the clinical management of spasticity

An overview of the clinical management of spasticity

... ingrowing An overview of the clinical management of spasticity 5 toenails or small pressure sores can, in turn, exacer- bate the spasticity, and a vicious circle of increased pain and increased spasticity ... block or botulinum toxin injection) An overview of the clinical management of spasticity 3 is worth undertaking simply to be sure of alleviat- ing at least the neural component of the hypertonia. ... being maintained in a shortened position. It is pos- sible, but not absolutely proven, that maintaining a joint through a full range of movement may prevent the longer-term development of soft...
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Pharmacological management of spasticity

Pharmacological management of spasticity

... agent in the management of spasticity in conjunction with baclofen in patients with spinal cord injury (Donovan et al., 1988). In a single-blind study of six spinal cord injury patients comparing ... restorationof the traumati- cally injured spinal cord in cats by clonidine. Science, 217: 1042–4. Nance, P. W. (1994). A comparison of clonidine, cyprohep- tadine, baclofen in spastic spinal cord injured ... vation of spasticity. Baclofen might precipitate bron- choconstriction in susceptible individuals. There was a report of baclofen-induced bronchoconstric- tion in an asthmatic patient taking baclofen...
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Physiotherapy management of spasticity

Physiotherapy management of spasticity

... 2006). Manual restraint of the unaffected limb can be unacceptable to children, so placing the arm inside the clothing, placing objects out of reach of Physiotherapy management of spasticity 89 Figure ... Interestingly, in a recent randomized trial of adults with traumatic brain injury, Verplancke et al. (2005) showed that the addition of botulinum toxin A did not result in any greater gains in ... occurring during acquisition of a novel throwing task. Am J Phys Med, 54: 1–24. Houltram, J., Noble, I., Boyd, R. N. et al. (2001). Botulinum toxin type A in the management of equinus in children...
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Surgical management of spasticity

Surgical management of spasticity

... Surgical management of spasticity Patrick Mertens and Marc Sindou Introduction Spasticity is one of the commonest sequelae of neu- rological diseases. In most patients spasticity is use- ful in compensating ... lesions of the plantar skin. In 180 patients, 82% of tibial PNs resulted in sup- pression of the disabling spasticity with improve- ment of the residual voluntary movements (P. Mertens & M. Sindou, ... improvement in comfort; decrease in orthopaedic risks; improvement for sit- ting, standing and/or walking; and improvement in urinary function. The muscles in which there was a harmful excess of tone...
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Tài liệu Osteoarthritis The care and management of osteoarthritis in adults ppt

Tài liệu Osteoarthritis The care and management of osteoarthritis in adults ppt

... adding an NSAID or COX-2 inhibitor (with a PPI) if pain relief is ineffective or insufficient. NICE clinical guideline 59 – Osteoarthritis 13 1.4.4 Intra-articular injections 1.4.4.1 Intra-articular ... sub-classifications of osteoarthritis. 5 Other versions of this guideline 5.1 Full guideline The full guideline, ‘Osteoarthritis: national clinical guideline for the care and management of osteoarthritis in ... performance of NHS organisations in meeting core and developmental standards set by the Department of Health in ‘Standards for better health’, issued in July 2004. Implementation of clinical guidelines...
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Strategic Management of Crises in Small and Medium Businesses pot

Strategic Management of Crises in Small and Medium Businesses pot

... Medium BusinessesAllan ManningThis thesis is presented in partial fulfillment of the requirements of theDegree of Doctor of Business AdministrationSchool of Management Faculty of Business and ... reduction in the number of businessfailures following a major loss.3. Continuing improvement on model for strategic management of crises.Allan Manning Strategic Management of Crises in Small ... of NaturalSelection.”Charles Darwin (1859)Strategy-making has evolved over time, in line with the continuing changes in businesschallenges.2.2.1 The Beginning“If you do not look at things...
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Depression - The treatment and management of depression in adults potx

Depression - The treatment and management of depression in adults potx

... with an increased risk of bleeding, especially in older people or in people taking other drugs that have the potential to damage the gastrointestinal mucosa or interfere with clotting. In particular, ... needed, including: • establishing regular sleep and wake times • avoiding excess eating, smoking or drinking alcohol before sleep • creating a proper environment for sleep • taking regular ... Delivery of low-intensity psychosocial interventions 1.4.2.2 Individual guided self-help programmes based on the principles of CBT (and including behavioural activation and problem-solving techniques)...
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Update on the management of constipation in the elderly: new treatment options doc

Update on the management of constipation in the elderly: new treatment options doc

... efforts of bearing down increases the intra-abdominal pressure, facilitating the development of a stripping wave, resulting in stool evacuation.Common causes of constipation in the elderly In ... taken in higher doses. The mechanism of inducing diarrhea by colchicine is unknown. It has been reported that colchicine increases prostaglandin synthesis, intestinal secre-tion and gastrointestrial ... usually present in one single individual.The past decade has given us significant mechanistic insights in the pathophysiology of constipation, providing Clinical Interventions in Aging 2010:5submit...
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