Spasticity?

[oc1dean]

Since I am just a stroke survivor it was interesting to find that researchers seem to believe spasticity is not a problem for stroke survivors
See Letters to the Editor
Spasticity After Stroke: Why Bother?
by William M. Landau, MD
(Stroke. 2004;35:1787.)
© 2004 American Heart Association, Inc.

Similarly, regarding spasticity, I have yet to find any adequately controlled demonstration that the steadfast fad of fixing this phantom facilitates functional recovery from hemiplegia; there is much evidence to the contrary
Also check out
Sommerfeld DK, Eek EU, Svensson AK, Holmqvist LW, von Arbin MH. Spasticity after stroke: its occurrence and association with motor impairments and activity limitations. Stroke. 2004; 35: 134–139.[Abstract/Free Full Text]

Sommerfeld et al that the "focus on spasticity in stroke rehabilitation is out of step with its clinical importance."

So why bother trying to fix spasticity since we should try to " harness its diffuse hyperactivity". I guess patients should be told this is normal and nothing can be done about it the researchers have said it is not a problem, it is all in your head,

I would love to be proven wrong about this research, but there definitely is a contingent that does not want to solve this problem and I would argue that if they had to recover from spasticity they would not dismiss it so easily.

[SagarNaik]

Dear Friends,

Follow the link for complete understanding of spasticity and its physical therapy management.

Spasticity Management

Or download complete note as a pdf from here.

Hope this will be helpful to all of us.

Regards,

[Fyzzio]

Thanks, Sagar,
really like your paper. I believe, you could add Hippotherapy to your vestibular stimulation section.

I think, it sums it all up: there are lots and lots of ways on how to deal with spasticity and often, it is nothing else but going for trial and error.
I have got patients, where a simple 10 sec ice bath completely resolves finger flex spasticity and then others, where only Botox A can give you that window of opportunity to start working on stretches, spliting and functional exercises.

Sagar, I have saved a copy of your paper, and would like to contribute it at work. Could you please tell me where it has been published and who's got ownership rights?
Thanks,
Fyzzio

[SagarNaik]

Thanks, Sagar,
really like your paper. I believe, you could add Hippotherapy to your vestibular stimulation section.

I think, it sums it all up: there are lots and lots of ways on how to deal with spasticity and often, it is nothing else but going for trial and error.
I have got patients, where a simple 10 sec ice bath completely resolves finger flex spasticity and then others, where only Botox A can give you that window of opportunity to start working on stretches, spliting and functional exercises.

Sagar, I have saved a copy of your paper, and would like to contribute it at work. Could you please tell me where it has been published and who's got ownership rights?
Thanks,
Fyzzio

Dear Fyzzio,

Thanks for appreciating. This the notes which I have prepared when I was in my undergraduate by referring my books and other materials. So if you want you can add if anything is missing. The purpose is to share what we have so if you don't mind then after you have added stuff then please also send it to me. So I can learn the missing parts.

Thanks,