TY - JOUR
T1 - Expert consensus on the surgical evaluation and management of upper extremity spasticity in adults
AU - Crowe, Christopher S.
AU - Pino, Paula A.
AU - Rhee, Peter C.
AU - Upper Extremity Spasticity Working Group
AU - Boyce, Dean
AU - Fridén, Jan
AU - Horwitz, Maxim
AU - Lam, Wee Leon
AU - Leclercq, Caroline
AU - Luria, Shai
AU - McArthur, Paul
AU - Sturbois-Nachef, Nadine
AU - Obdeijn, Miryam
AU - Panciera, Paolo
AU - Pickard, Simon
AU - Pontén, Eva
AU - Rajaratnam, Vaikunthan
AU - Sabapathy, Raja
N1 - Publisher Copyright: © The Author(s) 2023.
PY - 2023/11/1
Y1 - 2023/11/1
N2 - In the last decade there has been incredible interest and advancement in the surgical care of adult patients with upper motor neuron (UMN) injuries. Spasticity represents a prevalent and debilitating feature of UMN syndrome, which can result from cerebral palsy, spinal cord injury, cerebrovascular accident and traumatic or anoxic brain injury. While several diagnostic tools and management strategies have been described for upper limb spasticity, evidence-based practice guidelines do not currently exist due to low patient volume and a paucity of surgeons routinely performing surgeries in UMN syndrome patients. As such, expert consensus may help provide guidance for patients, therapists and clinicians alike. In this article an expert panel was assembled, and the Delphi method was utilized to present diagnostic considerations, define operative indications, discuss surgical treatment modalities and encourage a standard set of outcome measures for patients with upper extremity spasticity.
AB - In the last decade there has been incredible interest and advancement in the surgical care of adult patients with upper motor neuron (UMN) injuries. Spasticity represents a prevalent and debilitating feature of UMN syndrome, which can result from cerebral palsy, spinal cord injury, cerebrovascular accident and traumatic or anoxic brain injury. While several diagnostic tools and management strategies have been described for upper limb spasticity, evidence-based practice guidelines do not currently exist due to low patient volume and a paucity of surgeons routinely performing surgeries in UMN syndrome patients. As such, expert consensus may help provide guidance for patients, therapists and clinicians alike. In this article an expert panel was assembled, and the Delphi method was utilized to present diagnostic considerations, define operative indications, discuss surgical treatment modalities and encourage a standard set of outcome measures for patients with upper extremity spasticity.
KW - Upper motor neuron syndrome
KW - cerebral palsy
KW - reconstructive surgery
KW - spasticity
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=85171693383&partnerID=8YFLogxK
U2 - https://doi.org/10.1177/17531934231192843
DO - https://doi.org/10.1177/17531934231192843
M3 - Review article
C2 - 37717178
SN - 1753-1934
VL - 48
SP - 986
EP - 997
JO - Journal of Hand Surgery: European Volume
JF - Journal of Hand Surgery: European Volume
IS - 10
ER -