The vegetative and minimally conscious states in children: spasticity, muscle contracture and issues for physiotherapy treatment
作者： Bentley Leong
DOI: 10.1080/02699050110103283
关键词:
摘要: The neuropathology of the vegetative (VS) and minimally conscious (MCS) states pathophysiology spasticity are reviewed. Current treatment options available in physical management children a low-level state factors influencing physiotherapy will be discussed. complex VS MCS helps to explain varied clinical presentations MCS. Spasticity muscle contracture common motor sequelae Loss inhibition by descending pathways is thought result increased tone or spasticity. However, secondary changes fibre structure periarticular connective tissue may an additional component tone. A multimodal approach combining physical, pharmacological surgical interventions likely most effective. Knowledge likelihood recovery from can helpful determining frequency intensity physiotherapy. Ethical issues include consideration benefits child child's family costs health care team medical institution.
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