How is spasticity treated in a hemiplegic shoulder?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

The mainstay of treatment for spasticity begins with physical therapy and the use of ROM and stretching exercises, although overly aggressive stretching should be avoided. Proper positioning also is used as a means of controlling spasticity, by suppressing the evolution of synergy patterns.

Antispasticity medications, as well as casting and orthotics, also should be considered. If conservative treatment fails, then the use of motor point blocks has been advocated as an effective means of improving pain, ROM, and possibly function.


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