Spastic Upperlimb in Hemiplegia

[femiojagbule]

Thanks Physiodude,
the thing is that upperlimb is relaxed after appling a susutained stretch, but once he makes a movement the tone increases, I guess tone fluctuates between changes in position.

[physiobob]

Thanks Physiodude,
the thing is that upperlimb is relaxed after appling a susutained stretch, but once he makes a movement the tone increases, I guess tone fluctuates between changes in position.

You have provided your answer there. The person needs to work more in unbalanced sitting to get their trunk control better. The perhaps standing with enough support to keep the arm relaxed.

[femiojagbule]

Thanks once again,
what is the place of electrical stimulation, as there is increased tone in both the upperlimb and lower limb but no active movement.
waiting for a reply

[physiobob]

Thanks once again,
what is the place of electrical stimulation, as there is increased tone in both the upperlimb and lower limb but no active movement.
waiting for a reply

Whilst this may have a use, at this stage this should not be on your immediate plan. You need to reduce the tone before you begin to try and increase the voluntary movement. Often a reduction in tone can give light to some underlying control. Be patient and let us know what you do and how the patient progresses.