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Spasticity Management - Hamsa Rehab, Chennai

Muscles / Joints Spasm Management

Spasticity is the increased, involuntary, velocity-dependent muscle tone that causes resistance to movement. It is most commonly seen in spinal cord injury, trauma to the brain, or inflammatory conditions. Spasticity is characterized by hypertonicity, hyperactive stretch reflexes and clonus. It typically occurs below the level of neurological lesion among people who have upper motor neuron lesions.

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Spasticity is caused by the imbalance of signals from the central nervous system (brain and spinal cord) to the muscles. It is caused by various internal/external stimuli, like:
Changes in Position
Cutaneous Stimulation
Cutaneous Stimulation
Tight Clothing
Bladder or Kidney stones
Urinary tract infection
Catheter blockage
Faecal impaction
Functional Communication
Pressure sores
Anal fissure
Go for physical modalities
Burns / Infections
Emotional stress


Spaciticy can also have considerable benefits
Maintains Muscle Bulk
Decreases Osteoporosis
Improves Venous Return.

Treatment for spasticity

Spasticity may require medical management in the form of
Tablets, injection, or direct intrathecal injection.
For spasticity in legs, intrathecal Baclofen pumps are inserted in the spinal cord
The medicines, dose and duration will be recommended by the doctor. The muscle tone will be assessed and management will be planned by medical experts.
Therapeutic Management
Anti Spasticity Positioning
Weight-bearing activities like standing which is a form of a static stretch. It can reverse early contracture and reduce stretch reflex excitability.
Biofeedback using electromyography or joint position sensors. Auditory or visual feedback also helps to reduce spasticity.
Prolonged static stretching of muscles with splints, and serial castings.
Icing helps to reduce phasic stretch, reflex activity and clonus
The early effect of skin cooling is increased hypertonus. As cooling is only transient, the benefit lasts only for a few hours. It can be used with static stretch to overcome hyperactive stretch reflexes predisposing to contractures. Painful spasms can also be controlled
Deep rhythmical massage
Active and passive movements will reduce spasticity.
Deep rhythmical massage
Vestibular stimulation within a rocking chair or hammock is reported to be useful in relaxing hypertonic muscles.
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