Spasticity Management



A condition in which certain muscles are continuously contracted is Spasticity. This contraction causes tightness or stiffness of the muscles and can interfere with speech, normal movement, and gait. Damage to the portion of the spinal cord or brain that controls voluntary movement may cause Spasticity. 

For the management of spasticity, a variety of strategies are available. It includes improving hygiene, pain, gait, activities of daily living (ADLs), and ease of care; decreasing the frequency of spasm and related discomfort; and eliminating noxious stimuli. 

While treating a spastic muscle, it is necessary to assess the impact of its antagonistic muscle groups. While often weak, these muscle groups themselves may be spastic. Without treatment of the antagonist muscle treatment of the agonist muscle may create an additional problem instead of a solution. 

Types of therapy 

A variety of treatments are used at the same time. Interventions for spasticity vary from conservative to more aggressive. Current spasticity management options include the following: 

Therapeutic interventions: It includes physical therapy, occupational therapy, hippotherapy, aquatics. 

Physical modalities: It includes ultrasonography, electrical stimulation, biofeedback. 

Positioning/orthotics: Including taping, dynamic and static splints, wheelchairs, and standers. 

Oral medications: Such as baclofen and dantrolene. 

Injectable neurolytic medications: Botulinum toxins and phenol. 

Surgical intervention: Surgery can play a very important role in the treatment of chronic spasticity. In most cases, complementary neurosurgical and functional orthopedic approaches are used. 

Spasticity occurred in children may change as they grow and develop so that, at times, surgery may be undertaken to allow more normal bone and muscle growth. None of the surgery can completely eliminate spasticity as each surgical approach has certain strengths and weaknesses. 

Considerations that impact treatment include the following: 

Duration of spasticity and likely duration of therapy. 

Severity of spasticity.

Location of spasticity.

Success of prior interventions. 

Current functional status and future goals.

Underlying diagnosis and comorbidities.

Ability to comply with treatment and therapy.

Availability of support/caregivers and follow-up therapy. 






care for people with spasticity.





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