Spasticity Flashcards

1
Q

What is Spasticity?

A

a sensory-motor disorder causing intermittent or sustained involuntary activation

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2
Q

What populations can spasticity effect?

A

MS; stroke; CP; SCI; UMN; ALS

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3
Q

What is a positive vs negative result?

A

positive: see something that you shouldn’t
negative: not seeing something that you should

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4
Q

What control is lacking with spasticity?

A

corticospinal

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5
Q

What is a potential long term effect of spasticity?

A

sarcomere shortening and filling with fat cells

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6
Q

What are the levels of the Ashworth scale?

A

0: none
1: catch and release
1+: catch follow by minimal resistance
2: increase of tone, but still easily moved
3: PROM difficult
4: rigidity

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7
Q

What are the various medications used for spasticity?

A

Baclofen: most common: Gabba B agonist; substance P inhibitor
Dantrolene: Ca channel blocker in SR; hepatotoxis
Diazepam: Gabba A agonist; also anti-anxiety
Tizanidine: Alpha Adrenergic; most tolerated and works well, but most expensive

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8
Q

Alternative to oral medication?

A

intrathecal: baclofen pump
intramuscular: botox (lasts 3-6 months)
nerve block

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9
Q

What are the Manual techniques for spasticity management?

A

Ther Ex; posture and standing; manual stretching; casting; splinting; stretching

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10
Q

What are the functional impairments of spasticity?

A

impaired gait; Increased fall risk; increase contracture risk; urinary incontinence; decreased sexual ability

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11
Q

What are the positive signs of UMN syndrome?

A

spasticity; spastic dystonia; spastic co-contraction; synkinesis; increase muscle stiffness and contracture; released flexor reflexes

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12
Q

What are the negative signs of UMN syndrome?

A

motor weakness; muscle fatigue; loss of selective control

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