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Spasticity pp 426–438Cite as

Neurophysiological Mechanisms of Spasticity Modification by Physiotherapy

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Abstract

The term “spasticity” is used in a variety of circumstances describing impaired movement execution, enhanced muscular resistance against passive movement or abnormal limb postures. Furthermore, many clinicians equate the degree of spasticity with the excitability level of tendon reflexes.

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References

  • Artieda J, Quesada P, Obeso J (1991) Reciprocal inhibition between forearm muscles in spastic hemiplegia. Neurology 41:286–289

    PubMed  CAS  Google Scholar 

  • Bobath B (1970) Adult hemiplegia: evaluation and treatment, 2nd edn. Heinemann, London

    Google Scholar 

  • Boniface SJ, Mills KR, Schubert M (1991) Responses of single spinal motoneurons to magnetic brain stimulation in healthy subjects and patients with multiple sclerosis. Brain 114:643–662

    Article  PubMed  Google Scholar 

  • Booth BJ, Doyle M, Montgomery J (1983) Serial casting for the management of spasticity in the head injured adult. Phys Ther 63:1960–1966

    PubMed  CAS  Google Scholar 

  • Brunnstrom S (1970) Movement therapy in hemiplegia. Harper and Row, New York

    Google Scholar 

  • Bütefisch C, Hummelsheim H, Denzler P, Mauritz KH (1992a) Einfluß eines standardisierten Trainings auf Kraftentwicklung und schnelle Wechselbewegungen bei Patienten mit zentralen Paresen der Hand (Abstr). 4th Meeting of the Deutsche Gesellschaft für Neurologische Rehabilitation, Magdeburg

    Google Scholar 

  • Bütefisch C, Hummelsheim H, Münch B, Mauritz KH (1992b) Kontraktions- und Bewegungsprofile der Hand bei Patienten mit zentralen Hemiparesen (Abstr). 4th Meeting of the Deutsche Gesellschaft für Neurologische Rehabilitation, Magdeburg

    Google Scholar 

  • Calancie B, Nordin M, Wallin U, Hagbarth KE (1987) Motor-unit responses in human wrist flexor and extensor muscles to transcranial cortical stimuli. J Neurophysiol 58:1168–1185

    PubMed  CAS  Google Scholar 

  • Cheney PD, Fetz EE, Palmer SS (1985) Patterns of facilitation and suppression of antagonist forelimb muscles from motor cortex sites in the awake monkey. J Neurophysiol 53:805–820

    PubMed  CAS  Google Scholar 

  • Dietz V (1990) Spastik. Therapie der gesteigerten Reflexe oder der Bewegungsstörung? Nervenarzt 61:581–586

    PubMed  CAS  Google Scholar 

  • Dietz V, Quintern J, Berger W (1981) Electrophysiological studies of gait in spasticity and rigidity. Evidence that altered mechanical properties of muscle contribute to hypertonia. Brain 104:431–449

    CAS  Google Scholar 

  • Eisen A, Odusote K (1979) Amplitude of the F-wave: a potential means of documenting spasticity. Neurology (Minneap) 29:1306–1309

    CAS  Google Scholar 

  • Eldred E, Lindsley DF, Buchwald JS (1960) Effect of cooling on mammalian muscle spindles. Exp Neurol 2:144–157

    Article  PubMed  CAS  Google Scholar 

  • Grillner S (1972) The role of muscle stiffness in meeting the changing postural and locomotor requirements for force development by the ankle extensors. Acta Physiol Scand 86:92–108

    Article  PubMed  CAS  Google Scholar 

  • Hagbarth KE (1952) Excitatory and inhibitory skin areas for flexor and extensor motoneurons. Acta Physiol Scand 94:1–58

    Google Scholar 

  • Harrison PJ, Jankowska E (1985a) Sources of input to interneurones mediating group I non-reciprocal inhibition of motoneurones in the cat. J Physiol (Lond) 361:379–401

    CAS  Google Scholar 

  • Harrison PJ, Jankowska E (1985b) Organization of input to interneurones mediating group I non-reciprocal inhibition of motoneurones in the cat. J Physiol (Lond) 361:403–418

    CAS  Google Scholar 

  • Herman R, Byck R (1964) Differential peripheral nerve blockade by procaine and local cold. Clin Pharmacol Ther 5/6(2):848–851

    Google Scholar 

  • Hill DK (1968) Tension due to interaction between the sliding filaments in resting striated muscle: the effect of stimulation. J Physiol (Lond) 199:637–684

    CAS  Google Scholar 

  • Houk JC, Singer JJ, Henneman E (1971) The adequate stimulus for Golgi tendon organs with observation on the mechanics of the ankle joint. J Neurophysiol 34:1051–1065

    PubMed  CAS  Google Scholar 

  • Hummelsheim H, Munch B, Bütefisch C, Hoppe S, Neumann S (1992) Transcranial magnetic stimulation in rehabilitation and physiotherapy evaluation in hemiparetic stroke patients. In: Lissens MA (ed) Clinical applications of magnetic transcranial stimulation. Peeters, Leuven, pp 290–300

    Google Scholar 

  • Hummelsheim H, Mauritz K-H (1993) Neurophysiologische grundlagen krankengymnastischer iibungsbehandlung bei Patienten mit Zentralen Hemiparesen. Fortschr Neurol Psychiat 61:208–216

    Article  PubMed  CAS  Google Scholar 

  • Jankowska E, Johannisson T, Lipski J (1981) Common interneurones in reflex pathways from group la and lb afferents of ankle extensors in the cat. J Physiol (Lond) 310:99–111

    Google Scholar 

  • Kaplan N (1962) Effect of splinting on reflex inhibition and sensorimotor stimulation in treatment of spasticity. Arch Phys Med Rehabil 43:565–569

    Google Scholar 

  • Knott M, Voss DE (1968) Proprioceptive neuromuscular facilitation. Harper and Row, New York

    Google Scholar 

  • Lippold O, Nicholle J, Redfearm J (1960) A study of afferent discharge produced by cooling of mammalian muscle spindles. J Physiol (Lond) 153:218–231

    CAS  Google Scholar 

  • Little JW, Merritt JL (1988) Spasticity and associated abnormalities of muscle tone. In: DeLisa J A (ed) Rehabilitation medicine, principles and practice. Lippincott, Philadelphia, pp 430–444

    Google Scholar 

  • Lundberg A (1979) Multisensory control of spinal reflex pathways. Prog Brain Res 50:11–28

    Article  PubMed  CAS  Google Scholar 

  • Macpherson JJ, Becker AH, Franszczak N (1985) Dynamic splint to reduce the passive component of hypertonicity. Arch Phys Med Rehabil 66:249–252

    Article  Google Scholar 

  • Mecomber SA, Herman RM (1971) Effects of local hypothermia on reflex and voluntary activity. Phys Ther 51:271–282

    PubMed  CAS  Google Scholar 

  • Miglietta O (1973) Action of cold on spasticity. Am J Phys Ther 52:198–205

    CAS  Google Scholar 

  • Mills KR, Boniface SJ, Schubert M (1991) Origin of the secondary increase in firing probability of human motor neurons following transcranial magnetic stimulation. Brain 114:2451–2463

    Article  PubMed  Google Scholar 

  • Odeen I (1981) Reduction of muscular hypertonus by long-term muscle stretch. Scand J Rehabil Med 13:93–99

    PubMed  CAS  Google Scholar 

  • Rood MS (1956) Neurophysiological mechanisms utilized in treatment of neuromuscular dysfunction. Am J Occup Ther 10:220–224

    Google Scholar 

  • Wade DT (1992) Measurement in neurological rehabilitation. Oxford University Press, New York

    Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik Berlin, Abt. für Neurologische Rehabilitation, Freie Universität Berlin, Kladower Damm 223, D-14089, Berlin, Deutschland

    H. Hummelsheim & K.-H. Mauritz

Authors
  1. H. Hummelsheim
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  2. K.-H. Mauritz
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Editor information

Editors and Affiliations

  1. Neurologische Klinik mit klinischer Neurophysiologie, Alfried-Krupp-Krankenhaus, Alfried-Krupp-Straße 21, D-45131, Essen, Germany

    A. F. Thilmann

  2. Department of Neurology, The Prince Henry and Prince of Wales Hospitals and the Prince of Wales Medical Research Institute, Randwick, Sydney, NSW, 2031, Australia

    David James Burke M.D., D.Sc.

  3. Rehabilitation Institute of Chicago, 345 East Superior Street, Chicago, Illinois, 60611-4496, USA

    William Zev Rymer M.D., Ph.D.

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© 1993 Springer-Verlag Berlin Heidelberg

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Hummelsheim, H., Mauritz, KH. (1993). Neurophysiological Mechanisms of Spasticity Modification by Physiotherapy. In: Thilmann, A.F., Burke, D.J., Rymer, W.Z. (eds) Spasticity. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78367-8_40

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  • DOI: https://doi.org/10.1007/978-3-642-78367-8_40

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78369-2

  • Online ISBN: 978-3-642-78367-8

  • eBook Packages: Springer Book Archive

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