spasticity
velocity dependent increase in the stretch reflex
hyperexcitability of the reflex
tone
resistance to passive movement
increased tone can be due to
spasticity
contracture
excessive muscle activity
pain
decreased skill/ coordination
measurement of spasticity
ashworth scale
tardieu scale
ashworth scale
measures tone o-4
no increase
to limb rigid
tardieu scale
measure velocity dependent resistance to passive movement
because it measures speed so can actually determine if they have spasticity
how does tardieu scale measure
3 speeds
quality of muscle reaction is graded
0-4
4-clonue
intervention to spasticity Botox
Botox
but it is unlikely to improve
UL and LL motor function
What shouldn’t we use with spasticity
stretching
and
acupuncture
intervention of physiotherapy
early comprehensive therapy program
-accurate analysis
-task specific training