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.
Spasticity management program at AVA Rehabilitation center provides comprehensive
care for people with spasticity.
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