Week 3 Spasticity and Pathophysiology Management

Question 1

VELOCITY DEPENDENT motor disorder, involving an increase in tonic stretch reflexes with exaggerated tendon jerks.

Answer 1

SPASTICITY

Question 2

STRETCH SENSITIVE muscle contraction in absence of volitional command, including command to neighboring or distant muscles and absence of phasic stretch of affected mucle
- TONE INCREASE OF THE SURROUNDING MUSCLES

Answer 2

Spastic Dystonia

Question 3

INAPPROPRIATE ANTAGONIST REECRUITMENT which is triggered by volitional command in the absence of stretch

Answer 3

Spastic Co - Contraction

Question 4

What is rigidity?

Answer 4

• Bidirectional resistance to passive stretch, it is not related to speed, and is not a result of over active stretch reflex

Question 5

The amount of resistance to passive elongation or stretching when a muscle is relaxed

Answer 5

Tone

Question 6

The loss of length/range due to shortening of muscle length due to a decrease of sarcomeres within that muscle.
- atrophy
- loss of sarcomeres
- accumulation of connective tissue
- increase spindle responsiveness

Answer 6

Contracture

Question 7

What are the objectives in treating spasticity?

Answer 7

TO IMPROVE QUALITY OF LIFE
- relive symptoms and reduce disfigurement
- ease personal care and positioning
- improve function and mobility of a specific limb
- reduce burden of care
- enable ADL