fbpx

ADVERTISEMENT

ADVERTISEMENT

Spasticity

Updated : August 1, 2022





Background

Spasticity is a motor condition characterized by an increase in muscle tone or accompanying tonic stretch reflexes linked with hypertonia. It is frequently referred to as “stiffness” or “tightness”. Clinically, this condition can emerge in a variety of ways, sometimes with a modest neurological expression and other times with substantially elevated muscle tone resulting in joint immobility.

Spasticity can result in a variety of issues, including interference with everyday function, cleanliness, comfort, nursing care, and contractures, which increase the risk of infections and pressure ulcers.

In addition, spasticity increases the risk of dislocation and/or subluxation, in addition to heterotopic ossification. However, spasticity can be advantageous for some individuals, allowing them to walk or just stand/bear weight, which reduces risk of osteoporosis, improves blood circulation as well as mental health.

Epidemiology

Patients with spinal cord or brain-related injuries or conditions are at risk for developing spasticity, some of the illness which most commonly cause this include:

  • Stroke (35% risk)
  • Cerebral Palsy (90% risk)
  • Spinal Cord Injuries (40% risk)
  • Multiple Sclerosis (37%-78% risk)
  • Traumatic Brain Injuries (50% risk)

Anatomy

Pathophysiology

Etiology

Spasticity is seen as a positive indicator of the upper motor neuron syndrome, which refers to motor behaviors caused by lesions near the alpha motor neuron, and hence inside the brain or spinal cord. Other characteristics of UMNS include exaggerated muscular stretch reflexes and ascending plantar reflexes.

Some of the negative characteristics of UMNS are loss of dexterity, selective motor control, motor weakness, and relatively slower movement. Many conditions lead to spasticity, include, anoxia, traumatic brain injuries, spinal cord injuries, cerebral palsy, and multiple sclerosis.

Genetics

Prognostic Factors

Outcomes for spasticity vary on patient-to-patient basis. Symptoms for the same are improving due to medications, therapy, or physical modalities, the condition can have a good prognosis in terms of symptom management.

For individuals with neurodegenerative diseases, spasticity presents certain benefits by helping the affected individual with ambulation, hence maintaining muscle mass, preventing deep vein thrombosis and osteoporosis.

Clinical History

Physical Examination

Age group

Associated comorbidity

Associated activity

Acuity of presentation

Differential Diagnoses

Laboratory Studies

Imaging Studies

Procedures

Histologic Findings

Staging

Treatment Paradigm

by Stage

by Modality

Chemotherapy

Radiation Therapy

Surgical Interventions

Hormone Therapy

Immunotherapy

Hyperthermia

Photodynamic Therapy

Stem Cell Transplant

Targeted Therapy

Palliative Care

Medication

 

cyproheptadine 

inicated for Spasticity Associated with Spinal Cord:

2 - 4

mg

Orally 

3 times a day

Do not exceed 24 mg per day



lemon balm 

Tea
Take a cup orally as needed
1.5 to 4.5 g leaf in 150 ml of water
Tincture
Take a dose of 2 to 6 ml thrice a day
Cream/ointment
Apply 1% of a 70:1 ratio of lyophilized aqueous extract topically two to four times a day up to two weeks



 
 

Media Gallary

References

https://www.ncbi.nlm.nih.gov/books/NBK507869/

ADVERTISEMENT 

Spasticity

Updated : August 1, 2022




Spasticity is a motor condition characterized by an increase in muscle tone or accompanying tonic stretch reflexes linked with hypertonia. It is frequently referred to as “stiffness” or “tightness”. Clinically, this condition can emerge in a variety of ways, sometimes with a modest neurological expression and other times with substantially elevated muscle tone resulting in joint immobility.

Spasticity can result in a variety of issues, including interference with everyday function, cleanliness, comfort, nursing care, and contractures, which increase the risk of infections and pressure ulcers.

In addition, spasticity increases the risk of dislocation and/or subluxation, in addition to heterotopic ossification. However, spasticity can be advantageous for some individuals, allowing them to walk or just stand/bear weight, which reduces risk of osteoporosis, improves blood circulation as well as mental health.

Patients with spinal cord or brain-related injuries or conditions are at risk for developing spasticity, some of the illness which most commonly cause this include:

  • Stroke (35% risk)
  • Cerebral Palsy (90% risk)
  • Spinal Cord Injuries (40% risk)
  • Multiple Sclerosis (37%-78% risk)
  • Traumatic Brain Injuries (50% risk)

Spasticity is seen as a positive indicator of the upper motor neuron syndrome, which refers to motor behaviors caused by lesions near the alpha motor neuron, and hence inside the brain or spinal cord. Other characteristics of UMNS include exaggerated muscular stretch reflexes and ascending plantar reflexes.

Some of the negative characteristics of UMNS are loss of dexterity, selective motor control, motor weakness, and relatively slower movement. Many conditions lead to spasticity, include, anoxia, traumatic brain injuries, spinal cord injuries, cerebral palsy, and multiple sclerosis.

Outcomes for spasticity vary on patient-to-patient basis. Symptoms for the same are improving due to medications, therapy, or physical modalities, the condition can have a good prognosis in terms of symptom management.

For individuals with neurodegenerative diseases, spasticity presents certain benefits by helping the affected individual with ambulation, hence maintaining muscle mass, preventing deep vein thrombosis and osteoporosis.

cyproheptadine 

inicated for Spasticity Associated with Spinal Cord:

2 - 4

mg

Orally 

3 times a day

Do not exceed 24 mg per day



lemon balm 

Tea
Take a cup orally as needed
1.5 to 4.5 g leaf in 150 ml of water
Tincture
Take a dose of 2 to 6 ml thrice a day
Cream/ointment
Apply 1% of a 70:1 ratio of lyophilized aqueous extract topically two to four times a day up to two weeks



https://www.ncbi.nlm.nih.gov/books/NBK507869/

Free CME credits

Both our subscription plans include Free CME/CPD AMA PRA Category 1 credits.

Digital Certificate PDF

On course completion, you will receive a full-sized presentation quality digital certificate.

medtigo Simulation

A dynamic medical simulation platform designed to train healthcare professionals and students to effectively run code situations through an immersive hands-on experience in a live, interactive 3D environment.

medtigo Points

medtigo points is our unique point redemption system created to award users for interacting on our site. These points can be redeemed for special discounts on the medtigo marketplace as well as towards the membership cost itself.
 
  • Registration with medtigo = 10 points
  • 1 visit to medtigo’s website = 1 point
  • Interacting with medtigo posts (through comments/clinical cases etc.) = 5 points
  • Attempting a game = 1 point
  • Community Forum post/reply = 5 points

    *Redemption of points can occur only through the medtigo marketplace, courses, or simulation system. Money will not be credited to your bank account. 10 points = $1.

All Your Certificates in One Place

When you have your licenses, certificates and CMEs in one place, it's easier to track your career growth. You can easily share these with hospitals as well, using your medtigo app.

Our Certificate Courses