A client with a spinal cord injury is left with spasticity and dystonia. The nurse anticipates what treatment as most beneficial for this condition?
1. Physical therapy and medications
2. Hydrotherapy and massage
3. Physical therapy and surgery
4. Surgery and medications
Correct Answer: 1
Rationale 1: Effective treatment for spasticity includes both physical therapy and medications. Medications alone are not adequate to reduce the complications of spasticity, but regular and consistent physical therapy exercises have been shown to be effective in decreasing the severity of the symptoms.
Rationale 2: Hydrotherapy and massage are elements of physical therapy, and may be included in the treatment, but medications are effective in controlling spasticity.
Rationale 3: Physical therapy may be included in the treatment, and surgery has been used for tendon release or to sever a nerve–muscle pathway, but only in extreme cases.
Rationale 4: Surgery has been used for tendon release or to sever a nerve–muscle pathway, but only in extreme cases.
Global Rationale: Effective treatment for spasticity includes both physical therapy and medications. Medications alone are not adequate to reduce the complications of spasticity, but regular and consistent physical therapy exercises have been shown to be effective in decreasing the severity of the symptoms. Hydrotherapy and massage are elements of physical therapy, and may be included in the treatment, but medications are effective in controlling spasticity. Physical therapy may be included in the treatment, and surgery has been used for tendon release or to sever a nerve—muscle pathway, but only in extreme cases. Surgery has been used for tendon release or to sever a nerve—muscle pathway, but only in extreme cases.
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