International Journal of Physical Medicine & Rehabilitation
Open Access
ISSN: 2329-9096
+44 1300 500008
ISSN: 2329-9096
+44 1300 500008
Win Min Oo
University of Medicine,
Mandalay
Myanmar
Case Report
Usefulness of Coupling Transcutaneous Electrical Nerve Stimulation with
Routine Physical Therapy in Spinal Spasticity with Intolerant Drug Sideeffects: A Case Report
Author(s): Win Min Oo and Myat Thae BoWin Min Oo and Myat Thae Bo
Spasticity is a common complaint in patients with spinal cord injury. Clinically, spasticity is characterized by increased muscle tone, exaggerated tendon reflex, frequent muscle spasm and clonus. We report a case of worsening spasticity in a patient with incomplete cervical spinal cord injury (ASIA B) as a consequence to urinary tract infection. The initial baclofen dose of 5 mg/dose three times per day was increased to 15 mg/dose three times/day with dosage increment at 3-day intervals by 15 mg (5 mg/dose). Marked weakness and vertigo was reported. He continued to suffer from severe spasms and trunk tightness that limited his daily activities and induced intolerable pain. The Modified Ashworth Score was increased from 1+ initially to 3, and the Pen Spasm frequency Score deteriorated from initial 1 to 3. After eradication of urinary tract infection with ciprofloxacin.. View More»
DOI:
10.4172/2329-9096.1000319