Spasticity Proforma and Appendices

Please click on the images below to access a printable version of the Spasticity Proforma and Appendices


The content of this proforma was devised and produced at Trafford Intermediate Neuro-Rehabilitation Unit and further developed for regional use in collaboration with clinicians of the Greater Manchester Neuro-Rehabilitation Network (hosted by Salford Royal NHS Foundation Trust).

With thanks to the Greater Manchester Spasticity Task and Finish Group:

  • Hannah Jones (nee Woodhead) (Senior Specialist Physiotherapist – Trafford INRU) (Chair)
  • Corinne Gallagher (Senior Specialist Occupational Therapist – Trafford INRU)
  • Harriet Allen (Senior Specialist Physiotherapist – Trafford CNRT)
  • Susan Bannister (Clinical Lead Physiotherapist – Wigan/Trafford INRU)
  • Gillian Bradley (Senior Specialist Occupational Therapist- Salford Stroke Rehab)
  • Michelle Brennan (Senior Specialist Physiotherapist – Bolton CNRT)
  • Joyce Christian (Senior Specialist Nurse – Trafford CNRT)
  • Ellie Faulkes (Senior Specialist Nurse – North Manchester CNRT)
  • Jennifer Harrison (Senior Specialist Physiotherapist – Salford Stroke Rehab)
  • Joanne Ritchie (Senior Specialist Physiotherapist – Central Manchester CNRT)
  • Anna Rutherford (Senior Specialist Physiotherapist – Salford, AcuteNeurology Unit)
  • Rhiannon Sears (Senior Specialist Physiotherapist – Salford, AcuteNeurology Unit)
  • Gemma Smith (GMNRODN Facilitator)
  • Ellen Upton (Senior Specialist Occupational Therapist – Salford CNRT)
  • Sara Whitfield (Senior Specialist Physiotherapist – Salford, B4/L1)