According to Lance “Spasticity is a motor disorder characterized by a velocity dependent increase in tonic stretch reflexes (muscle tone) with exaggerated tendon jerks, resulting from hyperexcitability of the stretch reflex, as one component of the upper motor neuron syndrome” .
Most common etiologies are spinal cord injury, brain injury and multiple sclerosis.
Lance J. Pathophysiology of spasticity and clinical experience with baclofen. In: Feldman R, Young R, Koella W (eds). Spasticity: Disordered Motor Control. Chicago, III: Year Book Medical Publishers; 1980: 185-203
This treatment is aimed at reducing muscle tone and contractions.
- Physical therapy
- Pharmacological management (Diazepam, Baclofen, Dantrolene sodium, Clonidine and Tizanidine)
- Intrathecal agents (Baclofen)
At our centre we implant the intrathecal drug pump for continuous and programmed infusion of Baclofen.
We cooperate with the departement of rehabilitation and neurology at our hospital.