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The spastic-app


This spastic-app was developed by physicians and specialists to support stroke patients in the early detection of spasticity. Corresponding terms generally apply to all genders in terms of equal treatment. The shortened form of language is for editorial reasons only and does not include any rating.

The spastic-app

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Direct conversation with the doctor. Speak to the doctor in charge from the comfort of your own home.

Therapy

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Developed and recommended by doctors

Prof. Dr. med. Siegfried Jedamzik, first chairman of the regional practice network GOIN eV and managing director of Bayerische TelemedAllianz GmbH, developed the spastic-app with the support of Dr. med. Dipl.-Psych. Friedemann Müller, Head of Neurological Early Rehabilitation & Rehabilitation at Schön Klinik Bad Aibling Harthausen.

Notes for Doctors

The spastic-app for patients - briefly explained

  • 1. Download spastic-app

    Open the App Store or Google Playstore. Search specifically for the spastic-app in the search field. Select the spastic-app. Select Install.

  • 2. Register as a patient

    After you have registered as a patient, you will receive an e-mail that you must confirm.

  • 3. Spastic-app usage

    To use the spastic-app, please start the test and answer the 10 questions.

  • 4. Result received

    The evaluation of the questionnaire reveals whether you should continue the self-monitoring or whether you should contact a family doctor, neurologist or physiotherapist.

Stroke


What is a stroke?

A stroke is the "sudden" loss of certain abilities of the brain. This arises from various causes. An example is a blood clot blocking a vessel in the brain.

Hemorrhagic stroke

Hämorrhagischer Schlaganfall (Hirnblutung)

What is a hemorrhagic stroke (brain bleeding)?

In a hemorrhagic stroke, an artery in the brain ruptures or bursts (see picture). The nerve cells are damaged due to the space-occupying hemorrhage.



Ischemic stroke

Ischämischer Schlaganfall (Hirninfarkt)

What is an ischemic stroke (brain attack)?

In an ischemic stroke, a blood clot (thrombus) blocks an artery in the brain (see image). This cuts off the blood supply to this artery and deprives the brain cells of oxygen and nutrients.

How do you recognize a stroke? | AOK - The health channel


What: YouTube https://www.youtube.com/watch?v=Do3UJBNzirc

What is spasticity?

A pathological increase in muscle tension caused by damage to the central nervous system.


When does spasticity occur?

Spasticity usually develops within the first 30 days after the stroke in about a quarter of those affected. The spasticity often worsens over the next few months to a year.

 

Did you know that spasticity can be treated with botulinum toxin?
The drug botulinum toxin type A is obtained from the bacterium Clostridium botulinum and processed under strict conditions. The effect of botulinum toxin type A is so extreme that a few billionths of a gram are enough to relieve cramps. That is why botulinum toxin is a treatment for spasticity.

How does botulinum toxin work?

After the injection of botulinum toxin, the spasticity improves within a few days. The effect of the treatment peaks within a few weeks and usually lasts three to four months. The therapy must be repeated at regular intervals, since the effect of botulinum toxin between the nerves and muscles is only temporary and the active substance is broken down by the body.

Video


Here we will present the video soon - patients before and after treatment with botulinum toxin

Guidelines


"In the case of focal spasticity, focal drug injection treatment with botulinum toxin A (BoNT A) usually has a better benefit-risk ratio (see below) and should, as far as feasible, be used before oral antispasmodics are used (strong consensus)". (See source: Guidelines for diagnostics and therapy in neurology, p. 8)

Source: AWMF online: Guidelines for diagnostics and therapy in neurology. Therapy of spastic syndrome. German Society of Neurology, p. 8 Long version: https://www.awmf.org/uploads/tx_szleitlinien/030-078l_S2k_therapy_spastices_syndrome_2019-06-verlaengert.pdf

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