What is spasticity? Spasticity is the uncontrolled tightening or contracting of the muscles that is common in individuals with spinal cord injuries. About 65%–78% of the SCI population have some amount of spasticity, and it is more common in cervical (neck) than thoracic (chest) and lumbar (lower back) injuries .
Symptoms and severity of spasticity vary from person to person and can include: Sudden, involuntary flexing (bending) or extending (straightening) of a limb, or jerking of muscle groups such as in the trunk (chest, back, and abdomen), bladder, or rectum.
Hyperactive (overactive) reflexes, such as a muscle spasm when you are lightly touched.
Stiff or tight muscles at rest, so that it is difficult to relax or stretch your muscles.
Muscle tightness during activity, making it difficult for you to control your movement.
What causes spasticity? The nerves of the spinal cord and brain form a complex communication circuit that controls our body movements. Information on sensations or processes such as touch, movement or muscle stretch is sent up the spinal cord to the brain. In response, the brain interprets the signal and sends the necessary commands back down the spinal cord to tell your body how to react. The reaction of the body, such as jerking away from a hot object, is a reflex and happens quickly and automatically.
After a spinal cord injury, the normal flow of signals is disrupted, and the message does not reach the brain. Instead, the signals are sent back to the motor cells in the spinal cord and cause a reflex muscle spasm. This can result in a twitch, jerk or stiffening of the muscle.
Just about any touch, movement or irritation can trigger and sustain spasms
Deleted
Posts: 0
Reputation: 0 Likes
Date Joined: January 1970
Any irritation to the skin, such as rubbing, chafing, a rash, in-grown toenails, or anything that would normally be very hot or cold or cause pain. Pressure sores.
A urinary tract infection or full bladder
Constipation or large hemorrhoids.
Fracture or other injury to the muscles, tendons or bone below the level of spinal cord injury.
Tight clothing, wraps or binders.
Spasticity can be irritating, inconvenient or even limit your ability to go through your day.
What are the benefits of spasticity in SCI? Spasticity is not always harmful or bothersome and does not always need to be treated. Sometimes spasticity can help with functional activities such as standing or transferring. Spasticity that causes your fingers to bend can help you grip objects. Spasticity can also be a signal that you have a medical problem that you might not know about otherwise, such as a urinary tract infection, fracture, or pressure sore.
Deleted
Posts: 0
Reputation: 0 Likes
Date Joined: January 1970
Physical treatments The following treatments will help to maintain flexibility and therefore reduce spasticity and the risk for permanent joint contracture:
Regular stretching (range-of-motion) exercises twice daily will help maintain flexibility and temporarily reduce muscle tightness.
Weight-bearing or standing with support, such as using a standing frame or other supportive devices, will help stretch muscles.
Splints, braces, or progressive casting into the desired position provides continuous muscle stretching that helps to maintain flexibility and a position that does not trigger a spasm.
Careful use of hot or cold packs. When used in body areas that have partial sensation, check skin tolerance frequently as it may result in a burn if too hot and frostbite if too cold. Avoid the use of hot packs over areas without sensation. Medications When physical measures are not enough to control spasticity, medications may be needed.
Oral medications If spasticity involves large areas of your body, your doctor may prescribe one or more of the following medications: • Baclofen • Benzodiazepines (muscle relaxants) such as diazepam, clonazepam • Dantrolene • Tizanidine