Skip to main content

Clinical Features of Spasticity and Principles of Treatment

  • Chapter

Part of the book series: Current Clinical Neurology ((CCNEU))

Abstract

Evaluating and treating the patient with spasticity is not easy. The clinician is typically presented with a patient who wants things that current treatments cannot usually achieve: more independence, more strength, and more coordination. Certain aspects, such as the control of painful spasms and the decrease of resistance to passive movement, can now be reliably addressed. However, the ever-increasing array of treatment choices forces the clinician to specify exactly what the goals of treatment are and to compare the possible benefits of treatment with the possible risks.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Lance, J. W. (1980) Symposium Synopsis. Mosby, St. Louis.

    Google Scholar 

  2. Mayer, N. H, Esquenazi, A., and Childers, M. K. (1997) Common patterns of clinical motor dysfunction. Muscle Nerve 20, S21 - S35.

    Article  Google Scholar 

  3. Landau, W. F. (1969) Spasticity and Rigidity, in Recent Advances in Neurology ( Plum F., ed.), F. A. Davis, Philadelphia pp. 1–32.

    Google Scholar 

  4. Burke, D. (1988) Spasticity as an adaptation to pyramidal tract injury, in Functional Recovery in Neurological Disease ( Waxman, S. G., ed.), Raven Press, New York, pp. 401–423.

    Google Scholar 

  5. Haerer, A. F. (1992) Corticospinal (pyramidal) tract responses, in The Neurological Examination 5th ed. J.B. Lippincott Company, Philadelphia, pp. 453–464.

    Google Scholar 

  6. Huffschmidt, A. and Mauritz, K. H. (1985) Chronic transformation of muscle in spasticity: a peripheral contribution to increased muscle tone. J. Neurol. Neurosurg. Psychiatry 48, 676–685.

    Article  Google Scholar 

  7. O’Dwyer, N. J., Ada, L., and Neilson, P. D. (1996) Spasticity and muscle contracture following stroke. Brain 119, 1737–1749.

    Article  PubMed  Google Scholar 

  8. Sahrmann, S. A. and Norton, B. J. (1977) The relationship of voluntary movement to spasticity in the upper motor neuron syndrome. Ann. Neurol. 2, 460–465.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Springer Science+Business Media New York

About this chapter

Cite this chapter

Dromerick, A.W. (2002). Clinical Features of Spasticity and Principles of Treatment. In: Gelber, D.A., Jeffery, D.R. (eds) Clinical Evaluation and Management of Spasticity. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-092-6_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-59259-092-6_2

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-109-7

  • Online ISBN: 978-1-59259-092-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics