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Neurochirurgie
Vol 49, N° 2-3  - mai 2003
pp. 413-416
Doi : NCHIR-05-2003-49-2-3C2-0028-3770-101019-ART34
SPASTICITÉ : BILAN ET PERSPECTIVES
 

B. BUSSEL
[1]  Service de Rééducation Neurologique, INSERM U 483, Hôpital Raymond-Poincaré, Garches.

Tirés à part : B. Bussel

[2]  Service de Rééducation Neurologique, INSERM U 483, Hôpital Raymond-Poincaré, 92380 Garches.

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L'histoire de la spasticité est rapidement évoquée. Vu l'importance du retentissement fonctionnel de la spasticité, la mesure de ce retentissement fonctionnel doivent être une des tâches essentielles des travaux futurs. Le terme de spasticité est critiqué car cette entité physiologique ne recouvre pas l'ensemble des symptômes traités par les médecins. Des conseils pour une meilleure évaluation fonctionnelle sont donnés. L'avenir du symptôme spasticité, compte tenu de l'évolution des thérapeutiques futures activant la plasticité neuronale, est discuté.

Abstract
Spasticity: today and tomorrow

History of the spasticity is evoked including its physiological and medical aspects. The reduction of functional capacity of the patient experiencing spasticity is, for the author, one of the major duties of the medical staff involved in the treatment of this symptom. Some aspects of the measure of the reduction of functional capacity due to this symptom are described. Its seems to the author that the new treatments (neuronal graft…) should increase the number of patients to be treated for spasticity.

Keywords: spasticity , motor control , spasticity treatment , spasticity and voluntary motor command , spasticity and functional impairement






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