My name is Antonio Conceicao. I’m a stroke survivor, with a serious physical disability, including moderate spasticity.

However, I think this is a “fight” that we can go winning!

Tuesday 20 September 2016

What is spasticity and how approach it?

Convives con Espasticidad” (You live with Spasticity) is a Spanish entity that provides us a lot of useful information: more about it, and give us tips and guidelines to improve our welfare when we suffer.

Spasticity is a motor disorder associated with multiple diseases and disabilities. Its origin is in a central nervous system disorder that causes increased muscle tone making it difficult and/or impossible to move totally or partially the affected muscles.

What does spasticity feel like?
The feeling caused by spasticity is the sensation of having the legs and/or arms tied (according to the affected areas), generating a muscular tension that prevents the whole or a part of movement.

Who is affected by spasticity?
Children, adults, teenagers ... Those affected are as numerous as heterogeneous. This symptom is present in many diseases including: cerebral palsy, spina bifida, acquired brain injury, stroke, multiple sclerosis, amyotrophic lateral sclerosis, ataxias, spinal cord injuries, head injuries and other pathologies.

How to treat it?
The approach to spasticity has to be multidisciplinary. We must not forget that this is necessary and essential for proper diagnosis and better treatment. A specialist team should normally consist in a neurologist, a physiotherapist, an orthopaedic surgeon and rehabilitation physician. Although sometimes not provided, it is important the role of the psychologist as it will help both the family and the affected person, supporting them in the process of acceptance.

Does spasticity have a cure?
Spasticity does not have a cure, although it is possible to try to mitigate and prevent more serious symptoms, such as contractures or bone malformations.

Are there treatments?
Of course. Botulinum Toxin, Oral Baclofen, Orthotics, the Teratogs, hydrotherapy, practice sports, especially swimming, among others. The first four are indicated under the prescription and supervision of a specialist.
Moreover, we cannot forget the PHYSIOTHERAPY, essential in the life of a person with spasticity or any type of physical disability.
Other beneficial recommendations are maintaining proper postural hygiene and avoiding stressful situations or cold.

Among the surgical treatments, includes: rhizotomies and ITB (Intrathecal Baclofen Therapy).