Monday, December 3, 2007

Stiffness/ spasticity

More about Stiffness/spasticity
Stiffness, spasticity, and increased tone all refer to an increased level of muscle contraction in its resting state. A normal limb is floppy when relaxed and can easily be moved through a passive range of motion by a neurologist. A spastic limb or one with increased tone may rest in an abnormal, contracted position, or provide resistance when moved through a range of motion.In ALS, spasticity is a sign of upper motor neurone damage and can occur in any part of the body including the limbs and tongue. Treatment is usually pharmacological but may involve physical therapy such as massage or hydrotherapy. Spasticity can be more marked in patients with the upper motor neurone-predominant form of the disease, primary lateral sclerosis.In MS, spasticity is also associated with neurone damage, and is more commonly found in the legs than other regions. There are three types of symptoms associated with spasticity in MS: Spasms; powerful uncontrollable muscle contractions which can be extremely painful and can be triggered in many ways eg coughing, sneezing or a full bladder,Clonus; a repetitive movement, such as a constant tapping of the ball of the foot, and Contracture; when muscles become shortened and fix a limb in one position. (read more about spasticity in MS at World of MS)In Parkinson's disease, spasticity may take the form of dystonia, characterised by sustained muscle contractions causing stiffness, twisting, or immobility. Although dystonia can occur in any part of the body, it most commonly occurs in PD in the feet or hands.
This information should not be considered medical advice. Consult your doctor before utilizing any treatments described here.

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