Spasticity

Question 1

What is the measurement for spasticity?

Answer 1

Tardieu scale

Measured velocity dependent resistance to passive movement. Three speeds, grades zero to four

ASHWORTH IS FOR TONE NOT SPASTICITY

Question 2

Describe NSF guidelines for spasticity Mx

Answer 2

GPP - mild to mod spasticity just use early, comprehensive rehabilitation program
B - mod to severe spasticity Botox plus rehab therapy and clear goals
C - mod to severe spasticity ES or EMG biofeedback

Question 3

Describe Rx for spasticity

Answer 3

Mild-moderate - nil except feedback on excessive mm activity during rehab

Moderate-severe - Botox with stretching and splinting

Question 4

Define Spasticity

Answer 4

Positive sensori-motor impairment after stroke. Primary impairment.

Hater excitability of the stretch reflex. Velocity dependent. Weakness of agonist muscle.

Reduction in spasticity does not improve activity.