SPASTICITY--A RESULT OF CENTRAL NERVOUS SYSTEM INJURY/SPASTICNOST --POSLEDICA OSTECENJA CENTRALNOG NERVNOG SISTEMA

Citation metadata

Author: Nada Naumovic
Date: January-February 2018
From: Medicinski Pregled(Vol. 71 -2, Issue 1)
Publisher: Drustvo Lekara Vojvodine
Document Type: Report
Length: 2,767 words

Main content

Abstract :

Introduction. Spasticity is an interrrupted or constant hyperactivity of the sceletal muscles, caused by lesion of the upper motor neuron. The aim of this article was to gather scientifically and clinically important data about spasticity. Morpho-functional basis on which spasticity originates. The spasm is motoric disorder in which an increased muscle tone is present (especially of antigravity muscles), with slower movements and tendency of appearing moderate atrophy and contractures. Etiology. Spasticity may be caused by stroke; demyelinating diseases (sclerosis multiplex, amyotrophic lateral sclerosis); cerebral palsy; tumors; brain and spinal cord damage (trauma, ischemia, surgical intervention); other neurodegenerative diseases. Symptoms. There are a number of symptoms: increased muscle tone, joint stiffness, overactive reflexes, involuntary jerky movements, which may include spasms and clonus, pain, decreased functional abilities and delayed motor development, difficulty with care and hygiene, unusual posture, abnormal positioning of fingers, wrists, arms, or shoulders, contractures or muscle tightness. Management of spasticity-therapeutic treatment: physical therapy and rehabilitation, medicamentous and surgical treatment. Conclusion. Spasticity is a complex phenomenon with constant hyperactivity of the sceletal muscles, it is one component of upper motoneuron syndrome and many neurological diseases and disorders. Therapeutic treatment of spasticity should be highly specific, individualized, multidisciplinar and conducted carefully, controlled with the purpose of functional improvement and pain relief. It is significant to know that sometimes spasticity is useful and should not be removed. There is a need for standardized protocols for 'best practice' in management of spasticity. Key words: Muscle Spasticity; Muscle, Skeletal; Motor Neuron Disease; Muscle Hypertonia; Risk Factors; Signs and Symptoms; Therapeutics Uvod. Spasticitet je isprekidana ili konstantna hiperaktivnost skeletnih misica, prouzrokovana lezijom gornjeg motornog neurona. Cilj ovog clanka bio je da se sakupe naucno i klinicki znacajni podaci o spasticitetu. Morfo-funkcionalna osnova na kojoj je baziran spasticitet. Spazam je motorni poremecaj u kojem je povisen misicni tonus (posebno antigravitacionih misica), sa usporenim pokretima i tendencijom nastanka atrofije i kontraktura. Etiologija. Spasticitet moze da nastane zbog mozdanog udara, demijelinizacionih bolesti (sclerosis multiplex, amyotrophic lateral sclerosis), decje paralize, tumora, ostecenja mozga ili kicmene mozdine (trauma, ishemija, hirurska intervencija); drugih degenerativnih bolesti. Simptomi. Moze da ima razne simptome: povisen tonus misica, ukocenost zglobova, zivahne reflekse, nevoljne pokrete, koji mogu da ukljucuju spazam i klonus, bol, snizene funkcionalne sposobnosti i usporen motoricki razvoj, teskoce u aktivnostima svakodnevnog zivota; neuobicajena postura, abnormalno pozicioniranje prstiju, sake, ruke, ili ramena, kontrakture ili misicna stegnutost. Kreiranje terapijskog tretmana spasticiteta: fizikalna terapija sa rehabilitacijom, medikamentni i hirurski tretman. Zakljucak. Spasticitet je kompleksan fenomen, sa konstantnom hiperaktivnoscu skeletnih misica; komponenta je sindroma gornjeg motornog neurona i mnogih neuroloskih bolesti i poremecaja. Terapijski tretman spasticiteta je veoma specifican; mora da se sprovodi pazljivo, kontrolisano, a sa ciljem funkcionalnog poboljsanja i uklanjanja bola. Znacajno je da se ima u vidu da je ponekad spasticitet koristan i ne treba ga uklanjati. Kljucne reci: misicni spasticitet; skeletni misic; oboljenje motornog neurona; misicni hipertonus; znaci i simptomi; terapija

Source Citation

Source Citation
Naumovic, Nada. "SPASTICITY--A RESULT OF CENTRAL NERVOUS SYSTEM INJURY/SPASTICNOST --POSLEDICA OSTECENJA CENTRALNOG NERVNOG SISTEMA." Medicinski Pregled, vol. 71 -2, no. 1, 2018, p. 5+. Accessed 3 Dec. 2020.
  

Gale Document Number: GALE|A545697786