Neurological rehabilitation and the management of spasticity

Neurorehabilitation is often thought of as a stand-alone process taking part in a defined unit. However, patients with neurological conditions make up a large proportion of general medical admissions and GP consultations. This review attempts to explain the process and how an understanding of this can improve the care of neurological patients in all settings. Spasticity management can be particularly challenging, but rewarding if physical and pharmacological measures are used appropriately and in a timely manner. Through the basic principles of rehabilitation – assessment, goal setting, intervention and evaluation – function can be optimized whilst preventing complications and minimizing distress to patients and their families and carers.