Spasticity is a motor disorder characterised by an increase in the tone of the limbs caused by a UMN lesion. The assessment of spasticity is by clinical examination and using the Modified Ashworth scale. The usual description is like a clasp knife that will show the greatest resistance at the initiation of the movement.
The usual causes of spasticity are: - Cerebral palsy Brain damage caused by lack of oxygen (hypoxic encephalopathy) Multiple Sclerosis Severe head injury Spinal cord injury Stroke Adrenoleukodystrophy Phenylketonuria Neurodegenerative illness Treatment of spasticity is by the Inter-disciplinary spasticity treatment consisting of physiatrist/ neurologist/neurosurgeon/pain physician. The usual steps include: - Physical measures including Stretching, Positioning/Seating, Splinting & orthoses, Strengthening exercises, Movement’ re-education, Walking aids. Electrical…
