Management of spasticity from spinal cord dysfunction

Abstract

Spasticity is a common component of those with spinal cord dysfunction. Spasticity can lead not only to pain and potential secondary complications such as contracture and pressure sores but also to significant functional impairment. The clinician must identify specific goals of spasticity treatment and assess the potential benefit of spasticity, particularly as it pertains to transfers and ambulation. Conservative treatment measures that include avoidance and identification of potential noxious stimuli and a daily stretching program that can be performed by the patient or caregivers are initiated in all patients.