2024 Spasticity Management 101 - Special Considerations-Special Considerations

Video Transcription

Video Summary

The video discusses special considerations for treating spasticity in specific populations, such as pediatric patients with cerebral palsy, adults with cerebral palsy, patients with spinal cord injuries, and patients with multiple sclerosis. For pediatric patients with cerebral palsy, dosing of medications, including botulinum toxins, is weight-based. Their treatment plan needs to change and adapt over time as they continue to grow and develop. Adults with cerebral palsy often have contractures in affected muscles and may have had prior surgeries. Patients with spinal cord injuries have different dosing windows for toxin injections depending on the completeness of their injury. Patients with multiple sclerosis may have unpredictable patterns of spasticity and can be a moving target due to the progression of their disease. Additionally, botulinum toxins have various other uses, including chronic migraine, blepharospasm, overactive bladder, hyperhidrosis, and more. When administering toxin injections for multiple indications, it is recommended to do them on the same day.

Keywords

spasticity

cerebral palsy

botulinum toxins

spinal cord injuries

multiple sclerosis