FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2404110074> ?p ?o ?g. }

• W2404110074 endingPage "746" @default.
• W2404110074 startingPage "733" @default.
• W2404110074 abstract "Spasticity has been defined as a motor disorder characterized by a velocity-dependent increase in tonic stretch reflexes with exaggerated tendon jerks, resulting from hyperexcitability of the stretch reflex, as one component of the upper motor neuron syndrome. Increased motor neuron excitability and enhanced stretch-evoked synaptic excitation of motor neurons are potential neurophysiologic mechanisms to explain this phenomenon. The relative contribution of these two distinct mechanisms likely varies depending on the location of the lesion in the central nervous system. The patient history is an important component of the clinical evaluation focusing on potential nociceptive inputs that can worsen spasticity (e.g., urinary tract infections, skin breakdown). Assessment of the impact of the spasticity on function (positive and negative), position, care of the patient, and pain should be pursued. Clinical examination of spasticity is performed using methods to evoke and quantify spastic reflex responses to muscle stretch stimuli and to observe the patient performing functional tasks to note the impact of spasticity on their performance. Treatment is based on the negative impact of the spasticity on the patient, severity of the problems, and whether the hypertonicity is focal or diffuse in distribution (see article by Elovic elsewhere in this issue). First-line treatments include elimination of nociceptive stimuli, range of motion, seating and positioning, and other physical modalities. If additional intervention is necessary, oral medications are implemented for widespread spasticity, whereas focal problems are treated with prolonged stretching and splinting or casting to maintain muscle stretch and optimal positioning. In more severe cases, invasive procedures may be needed to supplement other treatments. Neurolytic procedures are pursued for focal tone problems. For generalized hypertonicity, intrathecal pump administration of medications or surgical interruption of reflex pathways has been helpful. Ultimately, the clinician must systematically approach the evaluation and treatment of spasticity. As decisions regarding moving from less to more invasive treatments are discussed, the potential risks and side effects of treatment options must be weighed versus the potential benefits that the patient might receive to maintain a rational approach to the management of spasticity." @default.
• W2404110074 created "2016-06-24" @default.
• W2404110074 creator A5055451703 @default.
• W2404110074 creator A5080916993 @default.
• W2404110074 date "2001-11-01" @default.
• W2404110074 modified "2023-10-12" @default.
• W2404110074 title "Physiologic and Clinical Monitoring of Spastic Hypertonia" @default.
• W2404110074 cites W125431766 @default.
• W2404110074 cites W1496004036 @default.
• W2404110074 cites W1905959289 @default.
• W2404110074 cites W1979123339 @default.
• W2404110074 cites W1994316794 @default.
• W2404110074 cites W1996013194 @default.
• W2404110074 cites W1996482230 @default.
• W2404110074 cites W2028277298 @default.
• W2404110074 cites W2038221352 @default.
• W2404110074 cites W2038547978 @default.
• W2404110074 cites W2041178457 @default.
• W2404110074 cites W2046774294 @default.
• W2404110074 cites W2053333953 @default.
• W2404110074 cites W2055601803 @default.
• W2404110074 cites W2057010363 @default.
• W2404110074 cites W2089572704 @default.
• W2404110074 cites W2090790769 @default.
• W2404110074 cites W2097847231 @default.
• W2404110074 cites W2128913652 @default.
• W2404110074 cites W2130873978 @default.
• W2404110074 cites W2132731296 @default.
• W2404110074 cites W2137360648 @default.
• W2404110074 cites W2145044887 @default.
• W2404110074 cites W2147137410 @default.
• W2404110074 cites W2151305056 @default.
• W2404110074 cites W2154284200 @default.
• W2404110074 cites W2159080420 @default.
• W2404110074 cites W2164949224 @default.
• W2404110074 cites W2166780547 @default.
• W2404110074 cites W2167206184 @default.
• W2404110074 cites W2409860911 @default.
• W2404110074 cites W2461665349 @default.
• W2404110074 cites W2891493828 @default.
• W2404110074 cites W4240340858 @default.
• W2404110074 doi "https://doi.org/10.1016/s1047-9651(18)30030-5" @default.
• W2404110074 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/11723863" @default.
• W2404110074 hasPublicationYear "2001" @default.
• W2404110074 type Work @default.
• W2404110074 sameAs 2404110074 @default.
• W2404110074 citedByCount "34" @default.
• W2404110074 countsByYear W24041100742013 @default.
• W2404110074 countsByYear W24041100742014 @default.
• W2404110074 countsByYear W24041100742015 @default.
• W2404110074 countsByYear W24041100742016 @default.
• W2404110074 countsByYear W24041100742017 @default.
• W2404110074 countsByYear W24041100742018 @default.
• W2404110074 countsByYear W24041100742019 @default.
• W2404110074 countsByYear W24041100742021 @default.
• W2404110074 countsByYear W24041100742022 @default.
• W2404110074 countsByYear W24041100742023 @default.
• W2404110074 crossrefType "journal-article" @default.
• W2404110074 hasAuthorship W2404110074A5055451703 @default.
• W2404110074 hasAuthorship W2404110074A5080916993 @default.
• W2404110074 hasConcept C126322002 @default.
• W2404110074 hasConcept C127573956 @default.
• W2404110074 hasConcept C15744967 @default.
• W2404110074 hasConcept C169760540 @default.
• W2404110074 hasConcept C2776195251 @default.
• W2404110074 hasConcept C2777478456 @default.
• W2404110074 hasConcept C2777515770 @default.
• W2404110074 hasConcept C2779012798 @default.
• W2404110074 hasConcept C2779248504 @default.
• W2404110074 hasConcept C2779421357 @default.
• W2404110074 hasConcept C2779494072 @default.
• W2404110074 hasConcept C2780832504 @default.
• W2404110074 hasConcept C42219234 @default.
• W2404110074 hasConcept C71924100 @default.
• W2404110074 hasConcept C83974742 @default.
• W2404110074 hasConcept C99508421 @default.
• W2404110074 hasConceptScore W2404110074C126322002 @default.
• W2404110074 hasConceptScore W2404110074C127573956 @default.
• W2404110074 hasConceptScore W2404110074C15744967 @default.
• W2404110074 hasConceptScore W2404110074C169760540 @default.
• W2404110074 hasConceptScore W2404110074C2776195251 @default.
• W2404110074 hasConceptScore W2404110074C2777478456 @default.
• W2404110074 hasConceptScore W2404110074C2777515770 @default.
• W2404110074 hasConceptScore W2404110074C2779012798 @default.
• W2404110074 hasConceptScore W2404110074C2779248504 @default.
• W2404110074 hasConceptScore W2404110074C2779421357 @default.
• W2404110074 hasConceptScore W2404110074C2779494072 @default.
• W2404110074 hasConceptScore W2404110074C2780832504 @default.
• W2404110074 hasConceptScore W2404110074C42219234 @default.
• W2404110074 hasConceptScore W2404110074C71924100 @default.
• W2404110074 hasConceptScore W2404110074C83974742 @default.
• W2404110074 hasConceptScore W2404110074C99508421 @default.
• W2404110074 hasIssue "4" @default.
• W2404110074 hasLocation W24041100741 @default.
• W2404110074 hasLocation W24041100742 @default.
• W2404110074 hasOpenAccess W2404110074 @default.
• W2404110074 hasPrimaryLocation W24041100741 @default.
• W2404110074 hasRelatedWork W114544597 @default.

• next