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I -Optimizing Spasticity

REPORT CARD: Spasticity KNOWLEDGE GENERATION CLINICAL APPLICATION POLICY CHANGE Innovaon/Discovery Integrave Care Environmental Shi Emerging Evidence Outcome Measures Resource Capacity Take Home Mesage: Development, psychometric validation and implementation of goal-directed outcome assessments of spasticity are a key priority. Implementation of universal access to quality spasticity care, nationwide, including interdisciplinary, multimodal management and intrathecal pump provision, is needed. Resources Effecve Pracce (Evidence and Outcomes) Equity Pracce Capacity Change Agents Societal Awareness Community Capacity 2020 PRIORITY 1 2020 PRIORITY 3 2020 PRIORITY 2 1. Krause JS. Self-reported problems after spinal cord injury: Implications for rehabilitation practice. Top Spinal Cord Inj Rehabil. 2007;12(3):35-44. 2. Anderson KD, Borisoff JF, Johnson RD, Stiens SA, Elliott SL. Long-term effects of spinal cord injury on sexual function in men: implications for neuroplasticity. Spinal Cord. 2007;45(5):338-48. 3. Anderson KD, Borisoff JF, Johnson RD, Stiens SA, Elliott SL. Spinal cord injury influences psychogenic as well as physical components of female sexual ability. Spinal Cord. 2007;45(5):349-59. 4. Levi R, Hultling C, Nash MS, Seiger A. The Stockhold spinal cord injury study: 1. Medical problems in a regional SCI population. Paraplegia. 1995;33(6):308-15. 5. Canadian Paraplegic Association. Workplace participation national survey of Canadians with SCI. Canadian Paraplegic Association; 1996. http://www.scireproject.com/ rehabilitation-evidence/spasticity. Accessed July 10, 2012. 6. Dietz V. Spastic movement disorder. Spinal Cord. 2000;38(7):389-93. 7. Gorgey AS, Dudley GA. Spasticity may defend skeletal muscle size and composition after incomplete spinal cord injury. Spinal Cord. 2008;46(2):96-102. 8. Bennegard GM, Karlsson AK. Higher glucose uptake in paralysed spastic leg. Spinal Cord. 2008;46(2):103-6. 9. Kirshblum S. Treatment alternatives for spinal cord injury related spasticity. J Spinal Cord Med. 1999;22(3):199-217. 10. Mahoney JS, Engebretson JC, Cook KF, Hart KA, Robinson-Whelen S, Sherwood AM. Spasticity experience domains in persons with spinal cord injury. Arch Phys Med Rehabil. 2007;88(3):287-94. 98 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


I -Optimizing Spasticity
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