The spasticity can be referred to as a problem that can result in causing the damage to the part of the brain along with spinal cord which has been involved in the whole controlling process of the voluntary movements. These features are also known as the upper motor neuron syndrome and it is associated with a pathological increased tone of muscles. It is responsible for creating the stiffness and assistance to the passive movements. The changes in muscle tones can also increase the disability which has been related to the disease at the origin of spasticity.
The spasticity cure includes a proper diagnosis which includes the following evaluations:
-The clinical history of the patient
-The physical examination of the patient
– The evaluation of various kinds of stretch reflexes
– The assessment of properly active as well as passive motions.
– Assessment of various functions for example eating, dressing, walking, standing and many more.
These kinds of proper assessments will help in developing the most effective treatment plan so that goals are highly achievable. This kind of plan should provide focus on three kinds of main areas:
– The overall difficulties associated with motor skills
-The ability of the individuals to control his or her muscles
-The stiffness and contracture in the muscles which can worsen the functional problems
Some of the most commonly adopted treatment options have been mentioned as follows:
The physical and occupational kind of therapy: In this option, the overall plan is designed with the help of motive of reducing the muscle tone and improving the proper range of motion along with increasing strength and coordination which will help in improving the comfort. The occupational therapies also will help in addressing the functional difficulties and finding the most effective solutions to the problems so that daily living activities can be performed effectively. The rehabilitation programs and treatments will also include injections of toxins which will be considered to work synergistically over time.
-The oral medications: These kinds of medications are also approved in various countries as a spray and are only indicated for those people who are having moderate to severe spasticity. In case of some of the medications, the recommendation level is too low because of the insufficient level of evidence present for them. All kinds of oral drugs have limited efficacy in combination with the high rate of adverse events which include military fatigue.
-Intrathecal therapy: This therapy is considered to be one of the most effective treatments for spasticity. It is highly recommended for all those people who have spinal cord injury and multiple sclerosis. It can be considered as a long-term treatment which will help in providing continuous improvements. This kind of treatment requires proper and a close follow-up so that efficacy can be maintained.
The spasticity management physiotherapy is also a very good option that can help in providing improvements to the people who are suffering from this problem. These kinds of spasticity issues can be treated at rehabilitation centres where the experts will be working together to provide great improvements with various kinds of treatment options available with them.