What is spasticity? The discussion continues

Spasticity is a term that has been used by clinicians and researcher for decades, yet there is little agreement about what it actually means. Numerous definitions for spasticity have been proposed and as knowledge of the phenomenon builds, definitions that were accepted in the past may no longer be valid. This paper does not attempt to define spasticity but instead explores how the definitions for spasticity have evolved over time and illustrates the need for authors to be cautious when using the term.

[1]  C. Crone,et al.  The spinal pathophysiology of spasticity – from a basic science point of view , 2007, Acta physiologica.

[2]  J. Zachazewski,et al.  Effect of tone-inhibiting casts and orthoses on gait. A case report. , 1982, Physical therapy.

[3]  DE Wood,et al.  Biomechanical approaches applied to the lower and upper limb for the measurement of spasticity: A systematic review of the literature , 2005, Disability and rehabilitation.

[4]  P. Reier,et al.  Scientific Basis of Spasticity: Insights from a Laboratory Model , 2001, Journal of child neurology.

[5]  P. Neilson,et al.  Spasticity and muscle contracture following stroke. , 1996, Brain : a journal of neurology.

[6]  N. Mayer,et al.  Clinicophysiologic concepts of spasticity and motor dysfunction in adults with an upper motoneuron lesion , 1997, Muscle & nerve. Supplement.

[7]  Jack Crosbie,et al.  Does spasticity contribute to walking dysfunction after stroke? , 1998, Journal of neurology, neurosurgery, and psychiatry.

[8]  F. Malouin,et al.  Non-reflex mediated changes in plantarflexor muscles early after stroke. , 1997, Scandinavian journal of rehabilitation medicine.

[9]  J. Lance,et al.  What is spasticity? , 1990, The Lancet.

[10]  AD Pandyan,et al.  Spasticity: Clinical perceptions, neurological realities and meaningful measurement , 2005, Disability and rehabilitation.

[11]  J Quintern,et al.  Electrophysiological studies of gait in spasticity and rigidity. Evidence that altered mechanical properties of muscle contribute to hypertonia. , 1981, Brain : a journal of neurology.

[12]  Editorial comment--spasticity after stroke: what's the catch? , 2003, Stroke.

[13]  Neurological mechanisms in spasticity: a brief review of some current concepts. , 1976, Physiotherapy.

[14]  S C Gandevia,et al.  Short-term effects of dynamic lycra splints on upper limb in hemiplegic patients. , 2000, Archives of physical medicine and rehabilitation.

[15]  T. Reistetter,et al.  Spasticity: The Misunderstood Part of the Upper Motor Neuron Syndrome , 2004, American journal of physical medicine & rehabilitation.

[16]  H. Kabat,et al.  Relaxation of spasticity by physiological technics. , 1954, Archives of physical medicine and rehabilitation.

[17]  S. Andreassen,et al.  Non–reflex and reflex mediated ankle joint stiffness in multiple sclerosis patients with spasticity , 1993, Muscle & nerve.

[18]  M. V. von Arbin,et al.  Spasticity After Stroke: Its Occurrence and Association With Motor Impairments and Activity Limitations , 2003, Stroke.

[19]  DE Wood,et al.  Theoretical and methodological considerations in the measurement of spasticity , 2005, Disability and rehabilitation.

[20]  AD Pandyan,et al.  Does spasticity result from hyperactive stretch reflexes? Preliminary findings from a stretch reflex characterization study , 2004, Disability and rehabilitation.

[21]  G. Allison,et al.  Reflex and non-reflex elements of hypertonia in triceps surae muscles following acquired brain injury: implications for rehabilitation. , 2001, Disability and rehabilitation.

[22]  D Burke,et al.  Spasticity as an adaptation to pyramidal tract injury. , 1988, Advances in neurology.

[23]  S. Morris Ashworth And Tardieu Scales: Their Clinical Relevance For Measuring Spasticity In Adult And Paediatric Neurological Populations , 2002 .

[24]  K. Jaffe,et al.  EFFECTS OF ‘TONE‐REDUCING’ VS. STANDARD PLASTER‐CASTS ON GAIT IMPROVEMENT OF CHILDREN WITH CEREBRAL PALSY , 1988, Developmental medicine and child neurology.

[25]  J. Carey,et al.  Movement dysfunction following central nervous system lesions: a problem of neurologic or muscular impairment? , 1993, Physical therapy.

[26]  K H Mauritz,et al.  Chronic transformation of muscle in spasticity: a peripheral contribution to increased tone. , 1985, Journal of neurology, neurosurgery, and psychiatry.