Diagnostics and Treatment of Spastic Paresis

Diagnostics and Treatment of Spastic Paresis
Prague, Czech Republic – October 12-13, 2017

Diagnostics and Treatment of Spastic Paresis takes place in Prague, Czech Republic, October 12-13, 2017.Course Description

This course is aimed at the diagnosis and treatment of spastic paresis in adults. A lesion of the upper motor neuron of various etiology leads to a uniform clinical picture resulting in muscle weakness, typical postures of the limbs, and in characteristic patterns of residual active movements. Other typical symptoms in these patients include an increased muscle resistance of limbs during passive movements caused by muscle overactivity, muscle shortening and contractures.

Knowledge of the overactivity type (spasticity, spastic dystonia, co-contractions) and proper assessment of palsy depending on a variable share of overactivity and weakness between agonists and antagonists are the keystones for the right approach to muscle denervation and rehabilitation therapy.

Recommended Audience

This course is intended for neurologists, rehabilitation physicians, and physiotherapists beginning in the field of spasticity, primarily from Europe.

Learning Objectives
  • Identify confusing terminology in spasticity literature, to recognize different clinical patterns of muscle overactivity and weakness caused by upper motor neuron lesion.
  • Name the leading muscles involved in spastic paresis of upper and lower limbs for denervation with botulinum toxin and rehabilitation therapy.
  • Determine the right muscles for an injection using electric stimulation and ultrasound.
  • Measure the extent of active and passive function of the spastic limbs to document the efficiency of the therapy.
Physician Competencies
  • Patient care and procedural skills
  • Work in interdisciplinary teams
  • Employ evidence-based practice
  • Apply quality improvement
  • Increase medical knowledge
  • Practice-based learning and improvement

Department of Neurology
Charles University
General University Hospital in Prague
Katerinska 30
Prague 2
Czech Republic


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