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Clasp knife like increase in tone

MedGen UID:
124452
•Concept ID:
C0277820
•
Sign or Symptom
Synonyms: Clasp Knife Spasticity; Clasp-Knife Spasticity; Spasticity, Clasp-Knife
SNOMED CT: Clasp knife rigidity (2581006); Clasp knife like increase in tone (2581006); Clasp-knife effect (2581006); Clasp-knife phenomenon (2581006)

Professional guidelines

PubMed

Treatment of spasticity.
Marsden J, Stevenson V, Jarrett L
Handb Clin Neurol 2023;196:497-521. doi: 10.1016/B978-0-323-98817-9.00010-7. PMID: 37620087
Spasticity Interventions: Decision-Making and Management.
Brandenburg JE, Rabatin AE, Driscoll SW
Pediatr Clin North Am 2023 Jun;70(3):483-500. Epub 2023 Mar 21 doi: 10.1016/j.pcl.2023.01.005. PMID: 37121638
Spasticity after stroke: physiology, assessment and treatment.
Thibaut A, Chatelle C, Ziegler E, Bruno MA, Laureys S, Gosseries O
Brain Inj 2013;27(10):1093-105. Epub 2013 Jul 25 doi: 10.3109/02699052.2013.804202. PMID: 23885710

Recent clinical studies

Etiology

Treatment of spasticity.
Marsden J, Stevenson V, Jarrett L
Handb Clin Neurol 2023;196:497-521. doi: 10.1016/B978-0-323-98817-9.00010-7. PMID: 37620087
Post stroke pain: identification, assessment, and therapy.
Harrison RA, Field TS
Cerebrovasc Dis 2015;39(3-4):190-201. Epub 2015 Mar 5 doi: 10.1159/000375397. PMID: 25766121
Post-stroke spasticity: predictors of early development and considerations for therapeutic intervention.
Wissel J, Verrier M, Simpson DM, Charles D, Guinto P, Papapetropoulos S, Sunnerhagen KS
PM R 2015 Jan;7(1):60-7. Epub 2014 Aug 27 doi: 10.1016/j.pmrj.2014.08.946. PMID: 25171879
The clinical effects of Kinesio® Tex taping: A systematic review.
Morris D, Jones D, Ryan H, Ryan CG
Physiother Theory Pract 2013 May;29(4):259-70. Epub 2012 Oct 22 doi: 10.3109/09593985.2012.731675. PMID: 23088702
Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review.
Chou R, Peterson K, Helfand M
J Pain Symptom Manage 2004 Aug;28(2):140-75. doi: 10.1016/j.jpainsymman.2004.05.002. PMID: 15276195

Diagnosis

Spasticity following brain and spinal cord injury: assessment and treatment.
Tamburin S, Filippetti M, Mantovani E, Smania N, Picelli A
Curr Opin Neurol 2022 Dec 1;35(6):728-740. Epub 2022 Oct 13 doi: 10.1097/WCO.0000000000001114. PMID: 36226708
Inter- and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis.
Meseguer-Henarejos AB, Sánchez-Meca J, López-Pina JA, Carles-Hernández R
Eur J Phys Rehabil Med 2018 Aug;54(4):576-590. Epub 2017 Sep 13 doi: 10.23736/S1973-9087.17.04796-7. PMID: 28901119
Hypertonia.
Evans SH, Cameron MW, Burton JM
Curr Probl Pediatr Adolesc Health Care 2017 Jul;47(7):161-166. Epub 2017 Jul 15 doi: 10.1016/j.cppeds.2017.06.005. PMID: 28716516
Spasticity Management After Stroke.
Bethoux F
Phys Med Rehabil Clin N Am 2015 Nov;26(4):625-39. Epub 2015 Sep 26 doi: 10.1016/j.pmr.2015.07.003. PMID: 26522902
Spasticity after stroke: physiology, assessment and treatment.
Thibaut A, Chatelle C, Ziegler E, Bruno MA, Laureys S, Gosseries O
Brain Inj 2013;27(10):1093-105. Epub 2013 Jul 25 doi: 10.3109/02699052.2013.804202. PMID: 23885710

Therapy

Spasticity Interventions: Decision-Making and Management.
Brandenburg JE, Rabatin AE, Driscoll SW
Pediatr Clin North Am 2023 Jun;70(3):483-500. Epub 2023 Mar 21 doi: 10.1016/j.pcl.2023.01.005. PMID: 37121638
Adjuvant treatments associated with botulinum toxin injection for managing spasticity: An overview of the literature.
Picelli A, Santamato A, Chemello E, Cinone N, Cisari C, Gandolfi M, Ranieri M, Smania N, Baricich A
Ann Phys Rehabil Med 2019 Jul;62(4):291-296. Epub 2018 Sep 13 doi: 10.1016/j.rehab.2018.08.004. PMID: 30219307
Interventions for managing skeletal muscle spasticity following traumatic brain injury.
Synnot A, Chau M, Pitt V, O'Connor D, Gruen RL, Wasiak J, Clavisi O, Pattuwage L, Phillips K
Cochrane Database Syst Rev 2017 Nov 22;11(11):CD008929. doi: 10.1002/14651858.CD008929.pub2. PMID: 29165784Free PMC Article
Spasticity Management After Stroke.
Bethoux F
Phys Med Rehabil Clin N Am 2015 Nov;26(4):625-39. Epub 2015 Sep 26 doi: 10.1016/j.pmr.2015.07.003. PMID: 26522902
Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review.
Chou R, Peterson K, Helfand M
J Pain Symptom Manage 2004 Aug;28(2):140-75. doi: 10.1016/j.jpainsymman.2004.05.002. PMID: 15276195

Prognosis

Spasticity following brain and spinal cord injury: assessment and treatment.
Tamburin S, Filippetti M, Mantovani E, Smania N, Picelli A
Curr Opin Neurol 2022 Dec 1;35(6):728-740. Epub 2022 Oct 13 doi: 10.1097/WCO.0000000000001114. PMID: 36226708
Sonographic guide for botulinum toxin injections of the lower limb: EUROMUSCULUS/USPRM spasticity approach.
Kaymak B, Kara M, Tok F, Ulaşli AM, Öztürk GT, Chang KV, Hsiao MY, Hung CY, Yağiz On A, Özçakar L
Eur J Phys Rehabil Med 2018 Jun;54(3):486-498. Epub 2017 Apr 4 doi: 10.23736/S1973-9087.17.04667-6. PMID: 28382814
Sonographic guide for botulinum toxin injections of the upper limb: EUROMUSCULUS/USPRM spasticity approach.
Kara M, Kaymak B, Ulaşli AM, Tok F, Öztürk GT, Chang KV, Hsiao MY, Hung CY, Yağiz On A, Özçakar L
Eur J Phys Rehabil Med 2018 Jun;54(3):469-485. Epub 2017 Mar 6 doi: 10.23736/S1973-9087.17.04664-0. PMID: 28264546
Post-stroke spasticity: predictors of early development and considerations for therapeutic intervention.
Wissel J, Verrier M, Simpson DM, Charles D, Guinto P, Papapetropoulos S, Sunnerhagen KS
PM R 2015 Jan;7(1):60-7. Epub 2014 Aug 27 doi: 10.1016/j.pmrj.2014.08.946. PMID: 25171879
Spasticity after stroke: physiology, assessment and treatment.
Thibaut A, Chatelle C, Ziegler E, Bruno MA, Laureys S, Gosseries O
Brain Inj 2013;27(10):1093-105. Epub 2013 Jul 25 doi: 10.3109/02699052.2013.804202. PMID: 23885710

Clinical prediction guides

Spasticity following brain and spinal cord injury: assessment and treatment.
Tamburin S, Filippetti M, Mantovani E, Smania N, Picelli A
Curr Opin Neurol 2022 Dec 1;35(6):728-740. Epub 2022 Oct 13 doi: 10.1097/WCO.0000000000001114. PMID: 36226708
Inter- and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis.
Meseguer-Henarejos AB, Sánchez-Meca J, López-Pina JA, Carles-Hernández R
Eur J Phys Rehabil Med 2018 Aug;54(4):576-590. Epub 2017 Sep 13 doi: 10.23736/S1973-9087.17.04796-7. PMID: 28901119
Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review.
Aboutorabi A, Arazpour M, Ahmadi Bani M, Saeedi H, Head JS
Ann Phys Rehabil Med 2017 Nov;60(6):393-402. Epub 2017 Jul 13 doi: 10.1016/j.rehab.2017.05.004. PMID: 28713039
Spasticity after stroke: physiology, assessment and treatment.
Thibaut A, Chatelle C, Ziegler E, Bruno MA, Laureys S, Gosseries O
Brain Inj 2013;27(10):1093-105. Epub 2013 Jul 25 doi: 10.3109/02699052.2013.804202. PMID: 23885710
Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review.
Chou R, Peterson K, Helfand M
J Pain Symptom Manage 2004 Aug;28(2):140-75. doi: 10.1016/j.jpainsymman.2004.05.002. PMID: 15276195

Recent systematic reviews

Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review.
Suputtitada A, Chatromyen S, Chen CPC, Simpson DM
Toxins (Basel) 2024 Feb 10;16(2) doi: 10.3390/toxins16020098. PMID: 38393176Free PMC Article
Effectiveness of Using Virtual Reality-Supported Exercise Therapy for Upper Extremity Motor Rehabilitation in Patients With Stroke: Systematic Review and Meta-analysis of Randomized Controlled Trials.
Chen J, Or CK, Chen T
J Med Internet Res 2022 Jun 20;24(6):e24111. doi: 10.2196/24111. PMID: 35723907Free PMC Article
Effect of muscle strength training in children and adolescents with spastic cerebral palsy: A systematic review and meta-analysis.
Merino-Andrés J, García de Mateos-López A, Damiano DL, Sánchez-Sierra A
Clin Rehabil 2022 Jan;36(1):4-14. Epub 2021 Aug 18 doi: 10.1177/02692155211040199. PMID: 34407619Free PMC Article
Inter- and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis.
Meseguer-Henarejos AB, Sánchez-Meca J, López-Pina JA, Carles-Hernández R
Eur J Phys Rehabil Med 2018 Aug;54(4):576-590. Epub 2017 Sep 13 doi: 10.23736/S1973-9087.17.04796-7. PMID: 28901119
Cannabinoids for Medical Use: A Systematic Review and Meta-analysis.
Whiting PF, Wolff RF, Deshpande S, Di Nisio M, Duffy S, Hernandez AV, Keurentjes JC, Lang S, Misso K, Ryder S, Schmidlkofer S, Westwood M, Kleijnen J
JAMA 2015 Jun 23-30;313(24):2456-73. doi: 10.1001/jama.2015.6358. PMID: 26103030

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