Hypertonicity vs spasticity

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


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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