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SKU# 9781620700723

Diagnosis and Management


  • Allison Brashear MD
Now available on:


"... [A] useful reference for professionals and trainees who take care of patients with spasticity. It can also be a useful tool for researchers and for clinical trials... I believe this new edition will help the reader better understand the spectrums of clinical presentations and the strategies of treatment regarding spasticity."

--Jin Jun Luo, Departments of Neurology and Pharmacology, Lewis Katz School of Medicine at Temple University, Journal of Neurology & Experimental Neuroscience

Since publication of the first edition, Spasticity: Diagnosis and Management has been the defining reference and go-to source for physicians, therapists, and other health care providers who care for patients with spasticity. For this new updated edition, Dr. Brashear and a diverse team of specialists have come together to integrate new research, clinical trials, measurement tools, therapies, and other recent advances that reflect thisevolving field.

The book is organized into four sections, each of which covers a broad scope of material. The first section begins with a general verview of spasticityand its effects on movement in patients. Other chapters cover epidemiology and ancillary findings commonly associated with spasticity. Part II details assessment tools and measurements, treatment goals, and how to aim for realistic outcomes. Part III outlines various treatment modalities, including heavily updated chapters on the use of botulinum toxin in the upper and lower extremities, guidance techniques for injections, intrathecal baclofen, neuromodulation, surgery, physical therapy, and more. The last section, which contains several new chapters, discusses evaluation of outcomes and management of patients with stroke, traumatic brain injury, spinal cord injuries, multiple sclerosis, cerebral palsy, and cancer, followed by chapters on spasticity management in long-term care facilities and economic considerations.

This book remains the most comprehensive guide to diagnosis and management of spasticity in adults and children, and the revised second edition will continue to serve as an invaluable resource for professionals in any discipline who strive to provide quality care to spasticity patients.

Key Features:

  • Revised edition of the premier clinical reference on spasticity
  • Incorporates the latest advances in assessment and treatment
  • Contains six entirely new chapters highlighting key topics including the Tardieu Scale and other measurement tools, ultrasound guidance for botulinum toxin management, spasticity in special populations, emerging therapies, and economic impact
  • More than 200 figures and 70 tables accompany the updated text

Product Details 

  • Publication Date December 09, 2015
  • Page Count 512
  • Product Form Hardback
  • ISBN 13 9781620700723
  • EISBN 9781617052422

Table of Contents 






1. Why Is Spasticity Treatment Important?

Allison Brashear and Elie Elovic

2. Epidemiology of Spasticity in the Adult and Child

John R. McGuire

3. Spasticity and Other Signs of the Upper Motor Neuron Syndrome

Nathaniel H. Mayer

4. Ancillary Findings Associated With Spasticity

Cindy B. Ivanhoe and Ana V. Durand Sanchez


5. Measurement Tools and Treatment Outcomes in Patients With Spasticity

Elie Elovic

6. Techniques and Scales for Measuring Spastic Paresis

Marjolaine Baude and Jean-Michel Gracies

7. Assessment of Spasticity in the Upper Extremity

Thomas Watanabe

8. Assessment of Lower Limb Spasticity and Other Consequences of the Upper Motor Neuron Syndrome

Alberto Esquenazi

9. Setting Realistic and Meaningful Goals for Treatment

Elie Elovic and Allison Brashear


10. Chemoneurolysis With Phenol and Alcohol: A “Dying Art” That Merits Revival

Lawrence J. Horn, Gurtej Singh, and Edward R. Dabrowski

11. Botulinum Toxin in the Treatment of Lower Limb Spasticity

Alberto Esquenazi

12. Botulinum Toxin in the Treatment of Upper Limb Spasticity

Allison Brashear

13. Guidance Techniques for Botulinum Toxin Injections: A Comparison

Katharine E. Alter

14. Anatomical Correlation of Common Patterns of Spasticity

Mayank Pathak and Daniel Truong

15. The Role of Physical and Occupational Therapy in the Evaluation and Management of Spasticity

Susan Reeves and Kelly Lambeth

16. Emerging Technologies in the Management of Upper Motor Neuron Syndromes

Ira G. Rashbaum and Steven R. Flanagan

17. Effects of Noninvasive Neuromodulation in Spasticity

Lumy Sawaki

18. Pharmacologic Management of Spasticity: Oral Medications

Jay M. Meythaler and Riley M. Smith

19. Intrathecal Baclofen for Spasticity

Gerard E. Francisco and Michael Saulino

20. Surgery in the Management of Spasticity

David A. Fuller


21. Diagnostic Evaluation of Adult Patients With Spasticity

Geoffrey Sheean

22. Overview of Genetic Causes of Spasticity in Adults and Children

Rebecca Schüle and Stephan Züchner

23. Spasticity Due to Disease of the Spinal Cord: Pathophysiology, Epidemiology, and Treatment

Heather W. Walker, Alice J. Hon, and Steven Kirshblum

24. Spasticity Due to Multiple Sclerosis: Epidemiology, Pathophysiology, and Treatment

Anjali Shah and Ian Maitin

25. Poststroke Spasticity Management With Botulinum Toxins and Intrathecal Baclofen

Anthony B. Ward and Poornashree Holavanahalli Ramamurthy

26. Management of Brain Injury Related Spasticity

Mary Alexis Iaccarino, Saurabha Bhatnagar, and Ross Zafonte

27. Management of the Cancer Patient With Spasticity

Adrienne R. Hill, Vishwa S. Raj, and Heather W. Walker

28. Evaluation, Treatment Planning, and Nonsurgical Treatment of Cerebral Palsy

Ann Tilton and Daniella Miller

29. Surgical Management of Spasticity in the Child With Cerebral Palsy

Kat Kolaski, John Frino, and L. Andrew Koman

30. Spasticity Management in Long-Term Care Facilities

Amanda Currie and David Charles

31. Economic Impact of Spasticity and Its Treatment

Michael Saulino