Which clinical history findings are characteristic of spasticity of the lower extremities?

Updated: Jun 28, 2019
  • Author: Krupa Pandey, MD; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Spastic deformities of the lower limbs affect ambulation, bed positioning, sitting, chair level activities, transfers, and standing up. Equinovarus, the most common pathologic posture seen in the lower extremity, is a key deformity that can prevent even limited functional ambulation or unassisted transfers.

The following flexor patterns often are seen in patients with cerebral palsy, MS, or TBI or who have suffered a stroke:

  • Hip adduction and flexion

  • Knee flexion

  • Ankle plantar flexion or equinovarus positioning


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