Hemiplegia

[iraj468]

Hi dears,
I am working about motor deficits in adult hemiplegia.
what is your experience about decreasing spasticity in
this patients?

[perfphysio]

Often spasticity begins as a result of poor trunk stability and the necessity to stand and walk patients to early. The plasticity of the nervous system can reorganise itself to maintain this "Rigidity" which makes treatment more time consuming and can be seen as a step backwards to the patient. I would intially play around with some seating postures and mobilisation of the trunk and see what happens to the upper limb.

For the persistent spasitcity Botox may have a short term place in reducing spasticity while you work on core control without having to take any "backward steps".

This question would be more appropriate in the neurology forum and you will get a host of responses to it there. I will copy and paste this one for you there. regards richard