Improving the Management of Post-Stroke Spasticity: Time for Action.
J Rehabil Med Clin Commun
; 1: 1000004, 2018.
Article
em En
| MEDLINE
| ID: mdl-33884109
ABSTRACT
OBJECTIVE:
To identify barriers to appropriate referral and treatment for patients with spasticity and present solutions that address these in a pragmatic way.METHODS:
Using the findings of interviews conducted with UK healthcare professionals on the management of post-stroke spasticity, a consensus meeting was held involving 7 UK spasticity experts. The panel identified barriers to timely identification and referral of patients in the acute and post-acute care settings. Barriers were prioritized using a consensus framework based on impact and resolvability and a series of final recommendations were agreed.RESULTS:
High-priority barriers broadly related to insufficient awareness of spasticity symptoms and benefits of treatment, limited access to spasticity services and lack of standardized pathways for post-stroke spasticity identification. Potential solutions included the appointment of an experienced member of the acute team to gain expertise in spasticity identification, patient education of spasticity symptoms and a greater utilization of training resources for healthcare professionals.CONCLUSION:
To address the barriers identified, we provide a series of consensus recommendations. As a key recommendation, we propose a set of indicators for the identification of stroke patients requiring specialist assessment and the use of the associated acronym "ACTION".
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Guideline
/
Prognostic_studies
Idioma:
En
Revista:
J Rehabil Med Clin Commun
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Reino Unido