Rehabilitation Strategies Following Surgical Treatment of Upper Extremity Spasticity.

Petuchowksi, Janese; Kieras, Kaitlin; Stein, Kristina · Hand Clin · 2018

review · Level V

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Abstract

Upper motor neuron injuries that occur in cases such as cerebral palsy, cerebrovascular accidents, and traumatic brain injury often have resulting upper extremity deformity and dysfunction. Multiple surgical options are available to improve upper extremity positioning, and, in some cases, motor control. Postoperative therapeutic management is imperative to assist the patient/caregiver in maximizing potential functional gains. This article provides an overview of postoperative guidelines for commonly performed surgeries to manage upper extremity dysfunction caused by spasticity and discusses acute management as well as therapeutic techniques for functional training and improved motor control.

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