Hypertonicity vs spasticity: Difference between revisions

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[[Image:Decorticate.jpg]]  
[[Image:Decorticate.jpg]]<br>  
 
Clinical evaluation and management of spasticity, &nbsp;Jeffery et. al.2002
 
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<span>&nbsp;</span>1-hypertonicity or spastic dystonia is a continues increase in the muscle tension without regarding to the movement and is dependent upon afferent information from feedback following movements of stretch , decorticat and decerbrate rigidity are a form of spastic dystonia, spastic dystonia is considered to be a form of sustained efferent muscular hyperactivity , dependent on continues supraspinal derive to the alpha motor neuron<ref name="Jeffery et. al.2002">Clinical evaluation and management of spasticity,2002</ref>  
<span>&nbsp;</span>1-hypertonicity or spastic dystonia is a continues increase in the muscle tension without regarding to the movement and is dependent upon afferent information from feedback following movements of stretch , decorticat and decerbrate rigidity are a form of spastic dystonia, spastic dystonia is considered to be a form of sustained efferent muscular hyperactivity , dependent on continues supraspinal derive to the alpha motor neuron<ref name="Jeffery et. al.2002">Clinical evaluation and management of spasticity,2002</ref>  
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The- spasticity is a velocity dependent increase in muscle tone in regarding to passive movement,&nbsp;  
The- spasticity is a velocity dependent increase in muscle tone in regarding to passive movement,&nbsp;  


-neural component of spasticity: pyramidal tract lesion , pyramidal tract injury doesn't give raise to spasticity<ref>Butuk</ref>&nbsp;(BURKE),
-neural component of spasticity: pyramidal tract lesion , pyramidal tract injury doesn't give raise to spasticity  


the main symptoms are weakness and loss of dexterity which is greater in distal than in the proximal muscles,&nbsp;  
the main symptoms are weakness and loss of dexterity which is greater in distal than in the proximal muscles,&nbsp;  
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2-MRT &amp; 3- VST&nbsp;: they have facilitatory effect on the extensor tone,  
2-MRT &amp; 3- VST&nbsp;: they have facilitatory effect on the extensor tone,  


- all the three systems are though to inhibit flexor reflex afferents responsible for flexor spasm<ref>3</ref>(BROWN 1994)
- all the three systems are though to inhibit flexor reflex afferents responsible for flexor spasm  
 
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Revision as of 10:55, 18 March 2014

Decorticate.jpg

 1-hypertonicity or spastic dystonia is a continues increase in the muscle tension without regarding to the movement and is dependent upon afferent information from feedback following movements of stretch , decorticat and decerbrate rigidity are a form of spastic dystonia, spastic dystonia is considered to be a form of sustained efferent muscular hyperactivity , dependent on continues supraspinal derive to the alpha motor neuron[1]

The- spasticity is a velocity dependent increase in muscle tone in regarding to passive movement, 

-neural component of spasticity: pyramidal tract lesion , pyramidal tract injury doesn't give raise to spasticity

the main symptoms are weakness and loss of dexterity which is greater in distal than in the proximal muscles, 

- pyramidal tract is the system which balance the muscle tone.-the key tracts are :

1-DRT : Has inhibitory effect on MRT &VST

2-MRT & 3- VST : they have facilitatory effect on the extensor tone,

- all the three systems are though to inhibit flexor reflex afferents responsible for flexor spasm

  1. Clinical evaluation and management of spasticity,2002