Spasticity Management ServiceWhat is the SMS?The Spasticity Management Service (SMS) provides treatment for muscle overactivity (also referred to as spasticity or dystonia) in adults with chronic neurological deficits. Muscle overactivity can arise from disorders of the brain or spinal cord, such as traumatic brain injury, stroke, cerebral palsy, spinal cord injury, multiple sclerosis, or other acquired brain impairments from a range of conditions. Symptoms may include muscle tightness, pain, deformity, spasms, and loss of joint mobility, and result in further impairment of function, increased burden of care, difficulties positioning andpressure areas. The SMS is an outpatient service which runs on Tuesdays and Fridays each week for those who reside in the South Western Sydney Local Health District. We are based in the Liverpool Brain Injury Rehabilitation Unit. The team comprises a rehabilitation physician, physiotherapist, occupational therapist and registered nurse. The SMS has joint clinics with a hand surgeon and orthopaedic surgeon as needed. Treatments include the prescription of oral medications, custom splinting, casting, physical therapy, botulinum toxin injections, intra-thecal Baclofen therapy, orthotics and surgery. The service is patient centred, designing treatment to meet individualised goals and address quality of life issues for patients and their carers.
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