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HOW SEVERE SPASTICITY IS AFFECTING YOU ITB Therapy SM with Intrathecal (injection)Date:Patient Telephone:Patient Name:Caregivers Name:Doctors Name:Doctors Telephone: Please indicate which activities
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To fill out how severe spasticity is, follow these steps:
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Start by assessing the frequency and duration of spasticity episodes.
03
Evaluate the intensity of spasticity using a rating scale, such as the Modified Ashworth Scale.
04
Determine how spasticity affects the individual's daily activities, such as walking, grasping objects, or speaking.
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Assess the impact of spasticity on the person's quality of life, including pain levels and ability to participate in social activities.
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Consult a healthcare professional specializing in spasticity management for a comprehensive evaluation and additional guidance.

Who needs how severe spasticity is?

01
Individuals who experience spasticity, which refers to muscle stiffness and involuntary muscle contractions, need to assess how severe their spasticity is.
02
People with conditions such as cerebral palsy, multiple sclerosis, stroke, traumatic brain injury, or spinal cord injury commonly experience spasticity.
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Healthcare professionals, including doctors, physical therapists, and neurologists, may also need to understand the severity of spasticity in order to develop effective treatment plans.
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How severe spasticity is a measure of the intensity or level of spasticity experienced by an individual.
Medical professionals or caregivers may be required to document and report how severe spasticity is for individuals receiving treatment or therapy.
To fill out how severe spasticity is, one can use specific assessment tools or rating scales to evaluate the symptoms and severity of spasticity.
The purpose of assessing how severe spasticity is to track the progress of treatment, optimize therapy interventions, and improve quality of life for individuals affected by spasticity.
Information such as frequency, intensity, triggers, impact on daily activities, and response to interventions may need to be documented when reporting how severe spasticity is.
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