The Journal of the International Society of Physical and Rehabilitation Medicine

EDUCATIONAL SUPPLEMENT
Year
: 2022  |  Volume : 5  |  Issue : 5  |  Page : 38--49

Module 3: Surgical management of spasticity


Raphaël Gross1, Monica Verduzco-Gutierrez2, Nathalie Draulans3, Máximo Zimerman4, Gerard E Francisco5, Thierry Deltombe6 
1 Nantes Université, CHU Nantes, Department of Physical and Rehabilitation Medicine, Movement - Interactions - Performance, MIP, UR 4334, F-44000 Nantes, France
2 Department of Physical Medicine and Rehabilitation, Joe R. and Teresa Lozano Long School of Medicine at UT Health San Antonio, San Antonio, Texas, USA
3 Department of Rehabilitation, Libra Rehabilitation and Audiology, Eindhoven, The Netherlands
4 Institute of Cognitive Neuroscience, ALCLA, Favaloro University Buenos Aires, Argentina
5 Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center; Department of Physical Medicine and Rehabilitation, UTHealth Houston McGovern Medical School and TIRR Memorial Hermann Hospital, Houston, Texas, USA
6 Department of Physical Medicine and Rehabilitation, Université catholique de Louvain, Centre Hospitalier Universitaire de Namur, Godinne Site, Avenue Docteur G Therasse, Yvoir, Belgium

Correspondence Address:

This module outlines the history of the development of surgical interventions for treating spasticity and discusses when surgical intervention is most appropriate for managing spasticity. A range of surgical techniques are considered; intrathecal baclofen, neurotomy, and muscle or tendon lengthening and transfer procedures. The implications and limitations of the surgical techniques are considered. The need for a multidisciplinary team to deliver optimal surgical treatment is also considered.


How to cite this article:
Gross R, Verduzco-Gutierrez M, Draulans N, Zimerman M, Francisco GE, Deltombe T. Module 3: Surgical management of spasticity.J Int Soc Phys Rehabil Med 2022;5:38-49


How to cite this URL:
Gross R, Verduzco-Gutierrez M, Draulans N, Zimerman M, Francisco GE, Deltombe T. Module 3: Surgical management of spasticity. J Int Soc Phys Rehabil Med [serial online] 2022 [cited 2022 Sep 30 ];5:38-49
Available from: https://www.jisprm.org/article.asp?issn=2349-7904;year=2022;volume=5;issue=5;spage=38;epage=49;aulast=Gross;type=0