Case 1 of 15NeurologicMovement disorder (e.g., tic, Parkinson disease)
You are asked to see a patient in a long-term care facility. He had a construction accident several years ago that left him with hemiplegia. He now reports stiffness in both legs and finds it difficult to complete his physical therapy exercises because of the muscle stiffness. On examination, tone is increased with hyperreflexia in both legs, confirming spasticity related to his prior upper motor neuron injury.
Question 1 of 44
How would you manage his spasticity? List 2 pharmacological agents plus 3 nonpharmacological methods.
Select 5. (0 / 5 selected)
100%
ABaclofen (GABA-B agonist, start 5 mg PO TID, titrate as needed)
BOccupational therapy – to assist with activities of daily living and functional goals
CTizanidine (alpha-2 agonist, start 2–4 mg PO at bedtime, titrate slowly)
DRegular physiotherapy – stretching, range-of-motion exercises
EOpioid analgesics as first-line
FImmediate surgical tendon release
GUse of orthotics/splints – to reduce contractures and maintain posture
Tip: right-click an answer (or press and hold on a phone) to strike it out. Drag over the question text to highlight it.