A free powerpoint ppt presentation displayed as a flash slide show on. Spasticity commonly affects muscles of legs and arms, neck. Difference between spasticity and rigidity pg blazer. Quantitative analysis of the velocity related pathophysiology of. Different origin spasticity is an increased resistance to the passive movement of a joint due to abnormally high muscle tone, and varies with the amplitude and speed of the joint motion. Whereas spasticity arises as a result of damage to the corticoreticulospinal pyramidal tracts, rigidity is caused by dysfunction of extrapyramidal. Thus in patients with hypertonic muscles, dorsal root section also abolishes the rigidity and spasticity fbrster, 1911, 19a and b. Spasticity is derived from the greek word spasticus, which means to pull. This can seriously interfere with the ability to perform daily activities. Clinically, spasticity results from the loss of inhibition of motor neurons, causing excessive velocitydependent muscle contraction. This ultimately leads to hyperreflexia, an exaggerated deep tendon reflex.
What is the main difference between rigidity and spasticity. Spasticity definition of spasticity by merriamwebster. Spasticity mechanisms and management allison oki, md october 11, 2014 cortical neurons are responsible for the movement itself pyramidal direct corticospinal cs. Sep 04, 2014 spasticity is a fertile area for research. Stiffness is the rigidity of an object the extent to which it resists deformation in response to an applied force. The main difference between spasticity and rigidity is that spasticity often affects antagonistic muscle groups, whereas rigidity occurs in both flexors and extensor muscles. The impact of spasticity varies from it being a subtle neurological sign to severe spasticity causing pain and contractures. Certain metabolic disorders also may cause spasticity. Spasticity is caused by an imbalance of signals from the central nervous system brain and spinal cord to the muscles. Spasticity in the arm can cause a tight fist, bent elbow and arm pressed against the chest. The effects of cannabis on dystonia and spasticity on pediatric patients. This is because of the practical difficulty in having a patient achieve a comfortable position that can still permit the action of gravity against the. This video is a part of a larger group of videos that were created during the. Spasticity management and treatment cleveland clinic.
Furthermore, spasticity occurs due to damage to the corticoreticulospinal or pyramidal tracts, while rigidity occurs due to the dysfunction of extrapyramidal tracts and lesions in the. The world commission on cerebral palsy felt that the condition did exist and defined it. General features some workers in the field of cerebral palsy would deny the existence of this group of cases. Spasticity is disruption in muscle movement patterns so that muscles contract all at once. Rigidity implies pathology of the extrapyramidal system, particularly the basal ganglia and frontal lobes. Clinical management of spasticity journal of neurology. Spasticity from greek spasmos, meaning drawing, pulling is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity, and hypertonia.
Rigidity is increased neural activity throughout the range of muscle excursion and is not velocity dependent. This contraction causes stiffness or tightness of the muscles and can interfere with normal movement, speech and gait. Spasticity is often unidirectional, meaning that resistance to movement is only felt when ones joint or muscle moves in one specific direction. Because of slow or interrupted nerve impulses, your. Muscle flaccidity and spasticity symptom checker check. These symptoms include stiff and rigid muscles, muscle spasms, and or contractures, which are permanent deformities in the. This allows for a significant reduction in spasticity and pain with fewer side effects compared to taking baclofen orally. Spasticity, however, is a particular type of hypertonia in which the muscles. Hypertonia may result from rigidity, spasticity, dystonia, or a combination of all. Difference between spasticity and rigidity difference between.
Spasticity vs rigidity 52017 by dr khaled a abulfadle. Damage to nerves in the central nervous system can disrupt the pattern. Spasticity is velocitydependent, meaning that the faster one moves or straightens a joint, the more resistant, tight, or spastic the muscle feels. Educational video for medical students visit my website. Both of them demonstrate hypertonic conditions, however, their causes, symptoms, and attributes differ. Tone is the resistance of muscles to passive stretch or elongation, basically the amount of tension a muscle has at rest. Mar 28, 2015 view the entire article with references and supplemental information on the wiley online library. It is also the dominant feature in several rarer conditions such as tropical and hereditary spastic paraparesis. Disruption of the upper motor neuron inhibitory pathways by stroke, brain trauma, or spinal cord injury leads to muscle spasticity. Rigidity and spasticity are two distinct types of hypertonia that arise from. Current treatments are effective, but may be difficult to tolerate for many patients.
Examination of tone increased resistance to the passive movement of a joint is a clinically useful and occasionally neglected part of the. It is important to differentiate between them to arrive at a correct diagnosis. Rigidity is present in both agonist and antagonist. It is also colloquially referred to as an unusual tightness, stiffness, or. The state of stiffness, inflexibility and inability to bend. Like most other ms symptoms, spasticity is primarily caused by demyelination, which in this case increases your muscle tone. Apr 26, 2016 pathophysiology of spasticity is not completely understood. This imbalance is often found in people with cerebral palsy, traumatic brain injury, stroke, multiple sclerosis, and spinal cord injury.
Join my facebook group sok physiology by dr khaled a abulfadle. Over 12 million people worldwide experience the symptoms of spasticity. Understanding of spasticity and clonus from patient perspective and how it affects daily life is needed for clinical understanding and bedside practice. So use your spasticity to your advantage as much as you want. Because of the lack of good information about spasticity and sex, you might think it is not possible to have a sex life if you experience spasticity. Spasticity may or may not be associated with paralysis or muscle weakness.
Treatment is developed based on the patients needs, preferences and goals. As nouns the difference between spasticity and plasticity is that spasticity is the state, quality or property of being spastic while plasticity is. When symptoms are mild, expert evaluation is even more important so that treatment is not delayed due to misdiagnosis. Jan 01, 20 there is still some misuse of the terminology spasticity and rigidity. Spasticity is common in many neurological disorders, such as stroke and multiple sclerosis. It is part of the upper motor neurone syndrome manifesting as increased tone, clonus, spasms, spastic dystonia and cocontractions. This animation explains the etiology of spasticity, its pathophysiology, clinical assessment and various management options with a note on management of spasticity. Spasticity is defined as velocity dependent resistance to movement. Spasticity is velocity dependant whereas rigidity is not the response to passive movement is an effective way to identify spasticity versus rigidity.
A complete physical examination, including neurological testing, will assess the extent of the. Rigidity inability of a material to be to bent or be forced out of shape. With a goal of characterising spasticity and rigidity, we were interested in comparing the velocity dependent components of muscle tone using constant stretch at. Spasticity is a feature of various neurologic conditions due to the loss of inhibition of motor neurons. Steve mcgee talks about the approach to differentiating spasticity versus rigidity at the bedside. Spasticity does not always cause harm and can occasionally assist in the rehabilitation process by enabling a patient to stand when their limb weakness would not otherwise allow it. Pocket knife more force has to be applied in the initial phase of opening as in clasp knife spasticity. Spasticity definition and meaning collins english dictionary. It is caused by a lesion in the descending motor pathways.
Is a motor disorder characterized by a velocitydependent increase in tonic stretch reflex. Hypertonia lead pipe or cog wheel type of rigidity. Both spasticity and rigidity are forms of hypertonia. One classic manifestation of spasticity is the ms hug, which occurs when the tiny muscles between your ribs spasm. Spasticity is a movement disorder in which muscles are abnormally contracted, resulting in stiffness, rigidity, jerky motions, awkward posture and limb positions, and speech problems.
It occurs in spastic paralaysis cerebral palsy and sometimes in multiple sclerosis. Spasticity should be treated when it causes pain, interferes with activities of daily living or sleep, or leads to less ability to function. In simple terms of clinical neurology, spasticity is defined as increased resistance to passive movement due to a lowered threshold of tonic and phasic stretch reflexes burke et al. Hat manual and score sheets can be downloaded from the website.
Spasticity with paralysis is a feature of many cases of stroke. Spasticity is more often found in the flexor muscles of the upper limb fingers, wrist, and elbow flexors and in the extensor muscles of the lower limb knee and ankle extensors. As nouns the difference between spasticity and rigidity is that spasticity is the state, quality or property of being spastic while rigidity is the quality or state of being rigid. Seemingly random muscle stiffness is something that plagues a large number of those battling ms some folks may not even realize its ms that is causing it. Managing spasticity may require a team approach to prevent painful and disabling contractures in the hips, knees, ankles, shoulders and elbows. Regarding the rest i would be careful describing the posturing, spasms, and paralysis as spasticity. Clinical outcome measures to assess spasticity at the bedside cannot completely account for the myriads of spasticity experiences.
Spasticity is defined as a velocitydependent increase in muscle tone that manifests with resistance to movement and involuntary muscle spasms and contractions. Spasticity versus rigidity stanford medicine 25 stanford university. Difference between spasticity and rigidity difference. Spasticity is a component of the upper motor neuron syndrome umns. The key differentiation here though is velocity dependence it is the sine qua non of spasticity. Whole plant cannabis extracts in the treatment of spasticity in multiple sclerosis. Oct 26, 2015 spasticity can be distinguished from rigidity by its dependence on the speed of muscle stretch and characteristic distribution in antigravity muscle groups. It clinically presents with a variable combination of paralysis, increased tendon reflex activity hyperreflexia with brisk reflexes and a positive babinski sign and hypertonia as opposed to rigidity seen as a characteristic feature of. Find powerpoint presentations and slides using the power of, find free presentations research about spasticity ppt.
Scoring is based on a 20minute standardized video protocol. Spasticity is often treated with the drug baclofen, which acts as an agonist at gaba receptors, which are inhibitory. Objective to determine if levetiracetam, a secondgeneration antiepileptic drug, may be useful for the treatment of spasticity in ms. Differences spasticity vs rigidity linkedin slideshare. Jun 15, 2016 over 12 million people worldwide experience the symptoms of spasticity. These include reciprocal 1a interneuronal inhibition, presynaptic inhibition, renshawmediated recurrent inhibition, group ii afferent inhibition, and golgi tendon organs. Effectiveness and tolerability of thccbd oromucosal spray for multiple sclerosis spasticity. For example, we observed patients in whom spasticity is prevalent in extensor muscles of the forearm. Spasticity in the leg may cause a stiff knee, pointed foot and curling toes. While these uncontrollable spasms are my worst problem spasticitywise, i am not immune to the issue of muscle stiffness. It also is used to treat spasticity or muscle stiffness. Spasticity can range from mild to severe, and in many cases can interfere with normal daily activity, including walking, movement, and speech. However including these phenomena as part of spasticity muddies the water so it is better to limit spasticity to velocity dependent resistance. As a result, many muscles may contract all at once.
Find out more about spasticity and spasms, and new treatment strategies in this az entry. According to the video, cbd is known to reduce nausea. Spasticity versus rigidity stanford 25 skills symposium, 2015. Spasticity is characterized by increased muscle tone, hyperactive reflexes, and possible clonus or rigidity. There is still some misuse of the terminology spasticity and rigidity. Spasticity, however, is a particular type of hypertonia in which the muscles spasms are increased by movement. Treating cerebral palsy symptoms with medical marijuana. View and download powerpoint presentations on spasticity ppt. Spasticity knowledge for medical students and physicians. Rigidity these terms come up a lot, and im having trouble differentiating what they mean.
Spasticity is a condition in which certain muscles are continuously contracted. Diagnosing and treating spasticity weill cornell brain and. Common etiologies of spasticity include multiple sclerosis, stroke, tumor, cerebral palsy, and spinal or peripheral nerve injury. Examination of tone increased resistance to the passive movement of a joint is a clinically useful and occasionally neglected part of the neurological examination. Spasticity definition is a spastic state or condition.
Can you differentiate between spasticity versus rigidity. Spasticity management spasticity is a common ms symptom that presents differently for everyone and requires an individualized treatment plan, says tevas shared solutions nurse lauren r. Levetiracetam for phasic spasticity in multiple sclerosis. Spasticity in children has numerous potential causes, most of which include some form of damage to the nervous system, such as brain damage caused by a lack of oxygen, brain trauma, stroke or spinal cord injury. This is our first video release from our 2015 stanford 25 skills symposium. Spasticity versus rigidity stanford 25 skills symposium. You may observe the following in a person with spasticity. Differentiation between contracture and rigidity will be discussed and video examples presented. For folks with vulvas and vaginas, if your spasticity affects your pc muscles, it can make having multiple orgasms a lot easier. Itb pump therapy should only be considered in extreme cases of spasticity and has been found to be most effective in treating spasticity in the lower and upper extremities.
Spasticity and muscle tightness is commonly treated with medications, physical and occupational therapy. Spasticity definition of spasticity by medical dictionary. Some consider clonus as simply an extended outcome of spasticity. Reference links embedded in the article below will also take you to the article on the wiley online library.
Apr 05, 2016 this video is a part of a larger group of videos that were created during the symposium. In cases of spasticity at the upper arms, it is extremely difficult to quantify the extent of the disorder by applying the pendulum test. Spasticity and rigidity are 2 types of hypertonic states elicited when examining the tone of limbs. A spastic muscle will generally appear relaxed when at rest, but when moved passively extended it will increase in tone and then return to a generally relaxed state when the movement is stopped. Muscle movements are normally controlled by a complex system that allows some muscles to contract tighten while others relax. Steve mcgee talks about the approach to differentiating spasticity versus rigidity. View the entire article with references and supplemental information on the wiley online library. Spasticity treatment and symptoms 420evaluationsonline. Examination of tone increased resistance to the passive movement of a joint is a. Spasticity is usually caused by damage to the portion of the brain or spinal cord that controls voluntary movement.
A day in the life of a stroke survivor with spasticity video. Spasticity is a word that describes a state in which the muscles are in a persistent state of increased involuntary reflex activity in response to a stretch. Spasticity definition, pertaining to, of the nature of, or characterized by spasm, especially tonic spasm. Cannabis is providing relief for those suffering from this painful muscle condition. What is the difference between spasticity and rigidity. Spasticity is a common symptom seen in many neurological conditions, notably head injury, spinal cord injury, stroke, cerebral palsy, and multiple sclerosis. Rigidity and spasticity are terms used to describe different patterns of increased resistance to passive joint movements. Ppt spasticity mechanisms and management powerpoint. Rigidity and spasticity are two distinct types of hypertonia that arise from distinct. Furthermore, how would differentiating them help localize the disease process. Spasticity is a term that is often used interchangeably with hypertonia. Spasticity an overview helps in understanding the disease condition through animated videos.
How tone is affected by posture will also be covered and special tests suggested. Rigidity and spasticity are two distinct types of hypertonia that arise from distinct anatomical pathways. These definitions has no true differentiating power. This video is a part of a larger group of videos that were created during the symposium.
Because its hypertonia, more fibers are on than in normal resting tone. Muscle flaccidity and spasticity and paralysis symptoms 4 causes muscle flaccidity and spasticity and sensations 4 causes muscle flaccidity and spasticity and weakness 4 causes muscle flaccidity and spasticity and breathing difficulties 3 causes muscle flaccidity and spasticity and communication symptoms 3 causes. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Because spasticity varies so much from person to person, it must be treated on an individual basis and demands a true partnership between the person with ms and his or her healthcare team e. Cleveland clinic is a nonprofit academic medical center. Spasticity implies pathology of the upper motoneuron system or corticospinal tracts.
Difference between spasticity and rigidity 1 definition spasticity and rigidity. The increased muscle tone may result in loss of joint motion, leading to contractures. Background spasticity is a common and debilitating symptom of multiple sclerosis ms. These terms come up a lot, and im having trouble differentiating what they mean. Although the symptoms of spasticity often seem obvious, the condition should be evaluated by an expert in neuromuscular disorders to get an accurate diagnosis and treatment plan. Spasticity is a symptom of multiple sclerosis where the muscles feel stiff, heavy and difficult to move. Clonus tends to not be present with spasticity in patients with significantly increased muscle tone, as the muscles are constantly active and therefore not engaging in the characteristic onoff cycle of clonus. Cerebral palsy rigidity causes, treatment, symptoms, aids. What is the difference between the stiffness and rigidity. The clinical assessment of muscle tone is an integral part of the neurologic evaluation of patients with movement disorders. Physiologically spasticity is defined as a motor disorder characterized by a velocity dependent increase in the tonic stretch reflexes muscle tone with.813 75 1387 1195 895 1393 510 171 1118 199 202 587 265 587 266 1268 422 417 252 1081 856 590 997 743 40 823 161 511 1309 1139 1404 618 1122 573 185 755 612 567 636 1246 453 397 1027 550 839 468 510 705 326