Typical Patterns of Spasticity in UMN Syndromes

Question 1

scapula

Answer 1

• retraction

- downward rotation

Question 2

shoulder

Answer 2

• ADD
• IR
• depression

Question 3

elbow

Answer 3

flexion

Question 4

forearm

Answer 4

pronation

Question 5

wrist

Answer 5

• flexion

- ADD

Question 6

hand

Answer 6

• finger flexion

- clenched fist w thumb ADD in palm

Question 7

pelvis

Answer 7

retraction (hip hiking)

Question 8

hip

Answer 8

• ADD (scissoring)
• IR
• extension

Question 9

knee

Answer 9

• extension

- flexion

Question 10

foot/ankle

Answer 10

• PF
• inversion
• equinovarus
• toes claw (tarsometatarsal ext, MTP flex)
• toes curl (tarsometatarsal and MTP flexion)

Question 11

hip and knee (prolonged sitting posture)

Answer 11

• flexion

- sacral sitting

Question 12

trunk

Answer 12

• lateral flexion w concavity

- rotation

Question 13

posture forward (prolonged sitting posture)

Answer 13

• excessive forward flexion

- forward head