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Spasticity after stroke — DGM MCQ

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ModerateStroke and rehabilitationSpasticity after strokeDGM

A 78-year-old man has painful clenched hand posture six months after stroke. Passive extension is limited and hygiene is difficult. Community therapy has tried stretching and splinting. Current medicines include clopidogrel and atorvastatin. What is the most appropriate referral?

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Correct answer: C — Specialist spasticity service

Painful function-limiting spasticity despite basic therapy warrants specialist spasticity assessment. Gastroenterology, no referral, antiplatelet escalation and memory clinic do not address the motor complication. Spasticity management may include therapy, splints, focal injections and goal setting.

Reference: NICE NG236