Horses and Zebras in the Spasticity Zoo-Session Recording

Video Transcription

Video Summary

The session, hosted by Mike Salino, Chair of Physical Medicine and Rehabilitation at Cooper University Health Care, was designed to explore spasticity presentations, comparing common and uncommon cases, metaphorically referred to as "horses and zebras" in the spasticity zoo, inspired by San Diego's world-famous zoo. Various cases were discussed by presenters, who shared insights into their complex management.<br /><br />Dr. Kimberly Heckert introduced the session by presenting a case involving a 60-year-old woman with spastic finger flexion due to a decade-old brain infarct. The case underscored the importance of aligning treatment with patient goals. Despite initial treatment addressing several affected muscle groups, the patient did not achieve the desired functional reach due to persistent finger flexor spasticity. The issue was later resolved by targeting the extensor carpi radialis longus, achieving the patient’s goal of functional reach.<br /><br />Further cases presented showed diverse challenges and innovative treatments in managing spasticity. These included a patient with spastic diplegia whose intra-thecal pump dosing was adjusted for optimal spasticity control, and various cases exploring toe deformities addressed through chemodenervation and surgical interventions.<br /><br />Additionally, notable was a dentist experiencing back spasms post-fusion surgery, managed successfully with Botox for dystonia, dramatically improving his quality of life after conservative treatments failed.<br /><br />The session concluded with insightful cases of managing intrathecal pumps, reinforcing the need for thorough examinations and diligent treatment adjustments. Participants were encouraged to share questions and continue exploring the diverse manifestations and management strategies for spasticity.

Keywords

spasticity

physical medicine

rehabilitation

Cooper University

case study

treatment goals

spastic diplegia

intrathecal pump

chemodenervation

Botox

dystonia