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Post-stroke spasticity — DGM MCQ

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HardStroke and rehabilitationPost-stroke spasticityDGM

An 80-year-old man 3 months after stroke has persistent spastic equinovarus foot, pain and repeated tripping despite physiotherapy. He can walk 20 metres with a stick and wants to continue rehabilitation. What is the most appropriate referral?

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Correct answer: A — Specialist spasticity or stroke rehabilitation clinic

Persistent focal spasticity impairing gait despite therapy warrants specialist rehabilitation review for splinting, orthotics, botulinum toxin or goal-based interventions. Nursing-home placement is not appropriate while rehabilitation goals remain meaningful. Stroke recovery and adaptation continue beyond the acute admission.

Reference: NICE NG236