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Kovalenko A.P.

Kirov Military Medical Academy, St. Petersburg, Russia

Kamaeva O.V.

First St. Petersburg State Medical University n.a. academician I.P. Pavlov, Saint-Petersburg, Russia

Misikov V.K.

Vladimirsky Regional Research Clinical Institute, Moscow, Russia

Poleshchuk Yu.R.

Medical-military academy n.a. S.M. Kirov, Saint-Petersburg, Russia

Koshkarev M.A.

Medical-military academy n.a. S.M. Kirov, Saint-Petersburg, Russia

Scales and tests in the rehabilitation and treatment of patients with spasticity of the lower limbs

Authors:

Kovalenko A.P., Kamaeva O.V., Misikov V.K., Poleshchuk Yu.R., Koshkarev M.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(5): 120‑128

DOI: 10.17116/jnevro201811851120

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Table of contents

SCALES AND TESTS IN THE REHABILITATION AND TREATMENT OF PATIENTS WITH SPASTICITY OF THE LOWER LIMBS
SCALES AND TESTS IN THE REHABILITATION AND TREATMENT OF PATIENTS WITH SPASTICITY OF THE LOWER LIMBS

To cite this article:

Kovalenko AP, Kamaeva OV, Misikov VK, Poleshchuk YuR, Koshkarev MA. Scales and tests in the rehabilitation and treatment of patients with spasticity of the lower limbs. S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(5):120‑128. (In Russ.)
https://doi.org/10.17116/jnevro201811851120

Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry)
 
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The problem-oriented approach in the rehabilitation of patients with spasticity requires careful assessment of the situation in the concept of The International Classification of Functioning, Disability and Health (ICF): impairment of the structure, functions and limitation of activity in specific environmental factors. Standardized tools in the assessment of muscle tone allow to get objective data about motor function. The use of the Modified Ashworth scale (MAS) and the Tardieu Scale are discussed. The standardized assessment of independent mobility is an important issue in outcome measuring. The ultimate goal of intervention, including the use of botulinum toxin therapy in the case of spasticity, is to support patient’s daily activities. The article presents scales and tests for assessment of mobility: The Hauser Test, the Rivermead Mobility Index and functional assessment walking tests. The authors describe a clinical case of lower limb spasticity treatment with abobotulinumtoxin A and its assessment with these scales.

Keywords:

rehabilitation
botulinum toxin
spasticity
Tardieu scale
ICF

Authors:

Kovalenko A.P.

Kirov Military Medical Academy, St. Petersburg, Russia

Kamaeva O.V.

First St. Petersburg State Medical University n.a. academician I.P. Pavlov, Saint-Petersburg, Russia

Misikov V.K.

Vladimirsky Regional Research Clinical Institute, Moscow, Russia

Poleshchuk Yu.R.

Medical-military academy n.a. S.M. Kirov, Saint-Petersburg, Russia

Koshkarev M.A.

Medical-military academy n.a. S.M. Kirov, Saint-Petersburg, Russia

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