Search for: [Abstract = "with generalized, severe spasticity, involved to receive baclofen pump.Outcome measure included the Modified Ashworth Scale \(MAS\), the inability Rankin Index, functional status with Barthel Index and spasms frequency with Penn Scale. Additionally, to obtain caregiver expectations and opinions about changes in their assistance in activity daily living \(ADL\), as well as satisfaction with ITB.RESULTS\:There was stastitically significant improvement in the decrease of spasticity, both in the lower and upper extremities, compared to the baseline assessment.The analysis of functional abilities assessed with the Barthel Index show statistically significant improvement in area of transfer from bed to wheelchair, in mobility on flat surface, going upstairs and downstairs and in dressing.Improvement was noted in the inabiliti status measured with Rankin Index. There was statistically significant decline in spasms frequency assessed with Penn Scale. Caregivers asses ITB as an effective treatment of spasticity especially due to facilitation of easy of care, rehabilitation, an improvement of quality of sleep and decrease of pain. There was no improvement in the self\-care of patients.CONCLUSIONS\: ntrathecal baclofen therapy is an effective metod in the treatment of severe spasticity. Positive results of ITB can be achieved on conditon a carefull selection of patients, clear information for ca"]

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