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  • 1 - An overview of the clinical management of spasticity

    • By Michael P. Barnes, Professor of Neurological Rehabilitation Walkergate Park International Centre for Neurorehabilitation and Neuropsychiatry, Newcastle upon Tyne, UK
  • Edited by Michael P. Barnes, University of Newcastle upon Tyne, Garth R. Johnson, University of Newcastle upon Tyne
  • Book:
    Upper Motor Neurone Syndrome and Spasticity
    Published online:
    22 August 2009
    Print publication:
    24 April 2008, pp 1-8

  • Summary

    This introduction provides an overview of spasticity management. Spasticity can cause problems with activity and participation in people with a variety of neurological disorders. It is only one of the many different features of the upper motor neurone (UMN) syndrome. The clinical features of the UMN syndrome can be divided into two broad groups such as negative phenomena and positive phenomena. A characteristic feature of spasticity is that the hypertonia is dependent upon the velocity of the muscle stretch, in other words, greater resistance is felt with faster stretches. Thus, spasticity resists muscle stretch and lengthening. Severe muscle spasms are often found in UMN syndrome. These can be in either a flexor pattern or an extensor pattern. The description of the different patterns of the UMN syndrome makes it clear that there is a potentially wide range of functional problems.