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dc.contributor.authorNew, Peter-
dc.contributor.otherBurns, Anthony-
dc.contributor.otherLanig, Indira-
dc.contributor.otherGrabljevec, Klemen-
dc.contributor.otherBensmail, Djamel-
dc.contributor.otherErtzgaard, Per-
dc.contributor.otherNene, Anand-
dc.identifier.citationArch Phys Med Rehabil. 2016 Dec; 97(12): pp 2222-2228en_US
dc.description.abstractOptimizing the treatment of disabling spasticity in persons with spinal cord damage is hampered by a lack of consensus regarding the use of acceptable definitions of spasticity and disabling spasticity, and the relative absence of decision tools such as clinical guidelines and concise algorithms to support decision-making within the broader clinical community. Many people with spinal cord damage are managed outside specialist centers, and variations in practice result in unequal access to best practice despite equal need. In order to address these issues, the Ability Network-an international panel of clinical experts-was initiated to develop management algorithms to guide and standardize the assessment, treatment, and evaluation of outcomes of persons with spinal cord damage and disabling spasticity. To achieve this, consensus was sought on common definitions through facilitated, in-person meetings. To guide patient selection, an in-depth review of the available tools was performed and expert consensus sought to develop an appropriate instrument. Literature reviews are guiding the selection and development of tools to evaluate treatment outcomes (body functions, activity, participation, quality of life) as perceived by people with spinal cord damage and disabling spasticity, and their caregivers and clinicians. Using this approach, the Ability Network aims to facilitate treatment decisions that take into account the following: the impact of disabling spasticity on health status, patient preferences, treatment goals, tolerance for adverse events, and in cases of totally dependent persons, caregiver burden.en_US
dc.subjectSpinal Cord Injuriesen_US
dc.subjectMuscle Spasticityen_US
dc.subjectSpinal Injuryen_US
dc.subjectDecision Toolen_US
dc.subjectClinical Guidelinesen_US
dc.subjectQuality of Lifeen_US
dc.subjectFunctional Outcomesen_US
dc.subjectTreatment Outcomesen_US
dc.subjectBest Practiceen_US
dc.subjectPatient Perspectivesen_US
dc.subjectEpworth-Monash Rehabilitation Medicine Unit, Melbourne, Victoria, Australia.en_US
dc.subjectNeurosciences Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titleOptimizing the management of disabling spasticity following spinal cord damage: The Ability Network - an international initiative.en_US
dc.typeJournal Articleen_US
dc.identifier.doidoi: 10.1016/j.apmr.2016.04.025en_US
dc.identifier.journaltitleArchives of Physical Medicine and Rehabilitationen_US
dc.description.affiliatesDivision of Physiatry, Department of Medicine, University of Toronto, Toronto, Ontario, Canadaen_US
dc.description.affiliatesBrain and Spinal Cord Rehabilitation Program, University Health Network–Toronto Rehabilitation Institute, Toronto, Ontario, Canadaen_US
dc.description.affiliatesNorthern Colorado Rehabilitation Hospital, Johnstown, CO, USAen_US
dc.description.affiliatesBrain Injury Rehabilitation Department, University Rehabilitation Institute, Ljubljana, Sloveniaen_US
dc.description.affiliatesSpinal Rehabilitation Services, Department of Rehabilitation, Caulfield Hospital, Alfred Health, Melbourne, Victoria, Australiaen_US
dc.description.affiliatesEpworth-Monash Rehabilitation Medicine Unit, Southern Medical School, Monash University, Melbourne, Victoria, Australiaen_US
dc.description.affiliatesDepartment of Physical Medicine and Rehabilitation, R. Poincaré Hospital, Assistance publique - Hôpitaux de Paris, University of Versailles Saint Quentin, Garches, Franceen_US
dc.description.affiliatesDepartment of Rehabilitation Medicine, Linköping University, Linköping, Swedenen_US
dc.description.affiliatesDepartment of Medicine and Health Sciences, Linköping University, Linköping, Swedenen_US
dc.description.affiliatesRoessingh Center for Rehabilitation, Enschede, The Netherlandsen_US
dc.type.studyortrialMulticentre Studiesen_US
Appears in Collections:Neurosciences

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