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spasticity
Spasticity is a condition in which certain muscles are continuously
contracted. This contraction causes stiffness or tightness of the muscles
and may interfere with gait, movement, and speech. Spasticity is
usually caused by damage to the portion of the brain or spinal cord that
controls voluntary movement. It may occur in association with spinal cord
injury, multiple sclerosis, cerebral palsy, anoxic brain damage, brain
trauma, severe head injury, some metabolic diseases such as
adrenoleukodystrophy, and phenylketonuria. Symptoms may include
hypertonicity (increased muscle tone), clonus (a series of rapid muscle
contractions), exaggerated deep tendon reflexes, muscle spasms, scissoring
(involuntary crossing of the legs), and fixed joints. The degree of
spasticity varies from mild muscle stiffness to severe, painful, and
uncontrollable muscle spasms. The condition can interfere with
rehabilitation in patients with certain disorders, and often interferes
with daily activities.
Treatment may include such medications as baclofen, diazepam, or
clonazepam; muscle stretching, range of motion exercises, and other
physical therapy regimens to help prevent joint contractures (shrinkage or
shortening of a muscle) and reduce the severity of symptoms; or surgery
for tendon release or to sever the nerve-muscle pathway.
Workshop
on Classification and Definition of Disorders Causing Hypertonia in
Childhood April 2001.
© Copyright 1997-2005, CHASA, All Rights Reserved
The information contained in this Children's Hemiplegia and Stroke
Association (CHASA) Web site is not a substitute for medical advice or treatment, and
CHASA recommends consultation with your doctor or health care professional.
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