Turkish Journal of Physical Medicine and Rehabilitation 2007 , Vol 53 , Num 2

Spasticity Treatment with Botulinum Toxi

Anthony B. WARD 1
1 North Staffordshire Rehabilitation Centre, Burslem, United Kingdom

Spasticity is a physiological consequence of an insult to the brain or spinal cord, which can lead to life-threatening, disabling and costly consequences.  This typically occurs in the patients following stroke, brain injury, spinal cord injury, multiple sclerosis and other disabling neurological diseases and cerebral palsy.  Its current management has been advanced considerably over the last ten years by new thinking and by new drugs and technology. The sole indication for treating spasticity is when it is causing harm. Physical management (good nursing care, physiotherapy, occupational therapy) through postural management, exercise, stretching and strengthening of limbs, splinting and pain relief are the basis of spasticity management.  The aim of treatment in all cases is to reduce abnormal sensory inputs, in order to decrease excessive and uncontrolled alpha-motor neuron activity. 

Keywords : Spasticity, management, botulinum toxi