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Spasticity - Overview

Alternative Names

Muscle stiffness; Hypertonia

Definition of Spasticity:

Spasticity is stiff or rigid muscles. It may also be called unusual "tightness" or increased muscle tone. Reflexes (for example, a knee-jerk reflex) are stronger or exaggerated. The condition can interfere with walking, movement, or speech.

See also: Muscle cramps

Considerations:

Spasticity is usually caused by damage to the part of the brain that is involved in movements under your control. It may also occur from damage to the nerves that go from the brain to the spinal cord.

Symptoms of spasticity include:

  • Abnormal posture
  • Carrying the shouler, arm, wrist, and finger at an abnormal angle because of muscle tightness
  • Exaggerated deep tendon reflexes (the knee-jerk or other reflexes)
  • Repetitive jerky motions (clonus), especially when you are touched or moved
  • Scissoring (crossing of the legs as the tips of scissors would close)

Spasticity may also affect speech. Severe, long-term spasticity may lead to contracture of muscles, which can reduce range of motion or leave the joints bent.

Common Causes:

This list does not include all conditions that can cause spasticity.

  • Reviewed last on: 2/5/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Joseph V. Campellone, MD, Division of Neurology, Cooper University Hospital, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Dobkin BH. Principles and practices of neurological rehabilitation. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Bradley: Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann Elsevier; 2008:chap 52.

Griggs R, Jozefowicz R, Aminoff M. Approach to the patient with neurologic disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 418.

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