Spasticity pp 426-438 | Cite as

Neurophysiological Mechanisms of Spasticity Modification by Physiotherapy

  • H. Hummelsheim
  • K.-H. Mauritz
Conference paper

Abstract

The term “spasticity” is used in a variety of circumstances describing impaired movement execution, enhanced muscular resistance against passive movement or abnormal limb postures. Furthermore, many clinicians equate the degree of spasticity with the excitability level of tendon reflexes.

Keywords

Fatigue Neurol Catecholamine Doyle Eisen 

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References

  1. Artieda J, Quesada P, Obeso J (1991) Reciprocal inhibition between forearm muscles in spastic hemiplegia. Neurology 41:286–289PubMedGoogle Scholar
  2. Bobath B (1970) Adult hemiplegia: evaluation and treatment, 2nd edn. Heinemann, LondonGoogle Scholar
  3. Boniface SJ, Mills KR, Schubert M (1991) Responses of single spinal motoneurons to magnetic brain stimulation in healthy subjects and patients with multiple sclerosis. Brain 114:643–662PubMedCrossRefGoogle Scholar
  4. Booth BJ, Doyle M, Montgomery J (1983) Serial casting for the management of spasticity in the head injured adult. Phys Ther 63:1960–1966PubMedGoogle Scholar
  5. Brunnstrom S (1970) Movement therapy in hemiplegia. Harper and Row, New YorkGoogle Scholar
  6. Bütefisch C, Hummelsheim H, Denzler P, Mauritz KH (1992a) Einfluß eines standardisierten Trainings auf Kraftentwicklung und schnelle Wechselbewegungen bei Patienten mit zentralen Paresen der Hand (Abstr). 4th Meeting of the Deutsche Gesellschaft für Neurologische Rehabilitation, MagdeburgGoogle Scholar
  7. Bütefisch C, Hummelsheim H, Münch B, Mauritz KH (1992b) Kontraktions- und Bewegungsprofile der Hand bei Patienten mit zentralen Hemiparesen (Abstr). 4th Meeting of the Deutsche Gesellschaft für Neurologische Rehabilitation, MagdeburgGoogle Scholar
  8. Calancie B, Nordin M, Wallin U, Hagbarth KE (1987) Motor-unit responses in human wrist flexor and extensor muscles to transcranial cortical stimuli. J Neurophysiol 58:1168–1185PubMedGoogle Scholar
  9. Cheney PD, Fetz EE, Palmer SS (1985) Patterns of facilitation and suppression of antagonist forelimb muscles from motor cortex sites in the awake monkey. J Neurophysiol 53:805–820PubMedGoogle Scholar
  10. Dietz V (1990) Spastik. Therapie der gesteigerten Reflexe oder der Bewegungsstörung? Nervenarzt 61:581–586PubMedGoogle Scholar
  11. Dietz V, Quintern J, Berger W (1981) Electrophysiological studies of gait in spasticity and rigidity. Evidence that altered mechanical properties of muscle contribute to hypertonia. Brain 104:431–449Google Scholar
  12. Eisen A, Odusote K (1979) Amplitude of the F-wave: a potential means of documenting spasticity. Neurology (Minneap) 29:1306–1309Google Scholar
  13. Eldred E, Lindsley DF, Buchwald JS (1960) Effect of cooling on mammalian muscle spindles. Exp Neurol 2:144–157PubMedCrossRefGoogle Scholar
  14. Grillner S (1972) The role of muscle stiffness in meeting the changing postural and locomotor requirements for force development by the ankle extensors. Acta Physiol Scand 86:92–108PubMedCrossRefGoogle Scholar
  15. Hagbarth KE (1952) Excitatory and inhibitory skin areas for flexor and extensor motoneurons. Acta Physiol Scand 94:1–58Google Scholar
  16. Harrison PJ, Jankowska E (1985a) Sources of input to interneurones mediating group I non-reciprocal inhibition of motoneurones in the cat. J Physiol (Lond) 361:379–401Google Scholar
  17. Harrison PJ, Jankowska E (1985b) Organization of input to interneurones mediating group I non-reciprocal inhibition of motoneurones in the cat. J Physiol (Lond) 361:403–418Google Scholar
  18. Herman R, Byck R (1964) Differential peripheral nerve blockade by procaine and local cold. Clin Pharmacol Ther 5/6(2):848–851Google Scholar
  19. Hill DK (1968) Tension due to interaction between the sliding filaments in resting striated muscle: the effect of stimulation. J Physiol (Lond) 199:637–684Google Scholar
  20. Houk JC, Singer JJ, Henneman E (1971) The adequate stimulus for Golgi tendon organs with observation on the mechanics of the ankle joint. J Neurophysiol 34:1051–1065PubMedGoogle Scholar
  21. Hummelsheim H, Munch B, Bütefisch C, Hoppe S, Neumann S (1992) Transcranial magnetic stimulation in rehabilitation and physiotherapy evaluation in hemiparetic stroke patients. In: Lissens MA (ed) Clinical applications of magnetic transcranial stimulation. Peeters, Leuven, pp 290–300Google Scholar
  22. Hummelsheim H, Mauritz K-H (1993) Neurophysiologische grundlagen krankengymnastischer iibungsbehandlung bei Patienten mit Zentralen Hemiparesen. Fortschr Neurol Psychiat 61:208–216PubMedCrossRefGoogle Scholar
  23. Jankowska E, Johannisson T, Lipski J (1981) Common interneurones in reflex pathways from group la and lb afferents of ankle extensors in the cat. J Physiol (Lond) 310:99–111Google Scholar
  24. Kaplan N (1962) Effect of splinting on reflex inhibition and sensorimotor stimulation in treatment of spasticity. Arch Phys Med Rehabil 43:565–569Google Scholar
  25. Knott M, Voss DE (1968) Proprioceptive neuromuscular facilitation. Harper and Row, New YorkGoogle Scholar
  26. Lippold O, Nicholle J, Redfearm J (1960) A study of afferent discharge produced by cooling of mammalian muscle spindles. J Physiol (Lond) 153:218–231Google Scholar
  27. Little JW, Merritt JL (1988) Spasticity and associated abnormalities of muscle tone. In: DeLisa J A (ed) Rehabilitation medicine, principles and practice. Lippincott, Philadelphia, pp 430–444Google Scholar
  28. Lundberg A (1979) Multisensory control of spinal reflex pathways. Prog Brain Res 50:11–28PubMedCrossRefGoogle Scholar
  29. Macpherson JJ, Becker AH, Franszczak N (1985) Dynamic splint to reduce the passive component of hypertonicity. Arch Phys Med Rehabil 66:249–252CrossRefGoogle Scholar
  30. Mecomber SA, Herman RM (1971) Effects of local hypothermia on reflex and voluntary activity. Phys Ther 51:271–282PubMedGoogle Scholar
  31. Miglietta O (1973) Action of cold on spasticity. Am J Phys Ther 52:198–205Google Scholar
  32. Mills KR, Boniface SJ, Schubert M (1991) Origin of the secondary increase in firing probability of human motor neurons following transcranial magnetic stimulation. Brain 114:2451–2463PubMedCrossRefGoogle Scholar
  33. Odeen I (1981) Reduction of muscular hypertonus by long-term muscle stretch. Scand J Rehabil Med 13:93–99PubMedGoogle Scholar
  34. Rood MS (1956) Neurophysiological mechanisms utilized in treatment of neuromuscular dysfunction. Am J Occup Ther 10:220–224Google Scholar
  35. Wade DT (1992) Measurement in neurological rehabilitation. Oxford University Press, New YorkGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • H. Hummelsheim
    • 1
  • K.-H. Mauritz
    • 1
  1. 1.Klinik Berlin, Abt. für Neurologische RehabilitationFreie Universität BerlinBerlinDeutschland

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