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Phys Med Rehabil Clin N Am · Aug 2014
ReviewSpasticity and the use of intrathecal baclofen in patients with spinal cord injury.
- Seema R Khurana and Deep S Garg.
- Department of Physical Medicine and Rehabilitation, University of Miami, Miller School of Medicine, 1120 Northwest 14th Street, CRB Room 948, Miami, FL 33136, USA. Electronic address: skhurana@med.miami.edu.
- Phys Med Rehabil Clin N Am. 2014 Aug 1; 25 (3): 655-69, ix.
AbstractMuscle spasms and spasticity constitute a significant problem in patients with spinal cord injury, interfering with rehabilitation and leading to impairments in quality of life in addition to medical complications. Administration of intrathecal baclofen (ITB) is indicated when spasticity continues to produce a clinical disability despite trials of oral treatments and other alternatives in patients who have functional goals and/or pain without contractures. Severe spasticity of spinal origin has been shown to respond dramatically to long-term ITB when used in appropriate patients with spasticity. Copyright © 2014 Elsevier Inc. All rights reserved.
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