Hypertonicity vs spasticity: Difference between revisions

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== Hypertonicity or spastic dystonia  ==
== Hypertonicity or spastic dystonia  ==


&nbsp;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&nbsp;<ref>Clinical evaluation and management of spasticity,  Jeffery et. al.2002</ref>  
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&nbsp;<ref>Clinical evaluation and management of spasticity,  Jeffery et. al.2002</ref>  


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== Spasticity  ==
== Spasticity  ==


- spasticity is a velocity dependent increase in muscle tone in regarding to passive movement  
*spasticity is a velocity dependent increase in muscle tone in regarding to passive movement&nbsp;
 
*pyramidal&nbsp;tract lesions  
pyramidal&nbsp;tract lesions  
*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.
-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;- pyramidal tract is the system which balance the muscle tone.  


=== neural component of spasticity:&nbsp;  ===
=== neural component of spasticity:&nbsp;  ===


1-Dorsoreticulospinal tract (DRT)&nbsp;: Has inhibitory effect on MRT &amp;VST  
#Dorsoreticulospinal tract (DRT)&nbsp;: Has inhibitory effect on MRT &amp;VST  
 
#medial reticulospinal tract (MRT) &amp;  
2-medial reticulospinal tract (MRT) &amp;  
#vestibulospinal tract ( VST ):<br>- they have facilitatory effect on the extensor tone<br>- all the three systems are though to inhibit flexor reflex afferents responsible for flexor spasm
 
3-vestibulospinal tract ( VST ):  
 
-they have facilitatory effect on the extensor tone,
 
- all the three systems are though to inhibit flexor reflex afferents responsible for flexor spasm  


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Revision as of 12:30, 20 March 2014

Hypertonicity or spastic dystonia[edit | edit source]

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]


Decorticate.jpg


[edit | edit source]

Spasticity[edit | edit source]

  • spasticity is a velocity dependent increase in muscle tone in regarding to passive movement 
  • pyramidal tract lesions
  • 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.

neural component of spasticity: [edit | edit source]

  1. Dorsoreticulospinal tract (DRT) : Has inhibitory effect on MRT &VST
  2. medial reticulospinal tract (MRT) &
  3. vestibulospinal tract ( VST ):
    - they have facilitatory effect on the extensor tone
    - all the three systems are though to inhibit flexor reflex afferents responsible for flexor spasm


References[edit | edit source]

  1. Clinical evaluation and management of spasticity, Jeffery et. al.2002