Review

Spinal Cord (2005) 43, 577–586. doi:10.1038/sj.sc.3101757; published online 19 April 2005

Spasticity after spinal cord injury

M M Adams1 and A L Hicks1

1Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada

Correspondence: AL Hicks, Department of Kinesiology, McMaster University, 1280 Main Street West, Hamilton, Ontario, Canada L8S 4K1

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Abstract

Symptoms of spasticity are often experienced by individuals with spinal cord injury (SCI) following a period of spinal shock and, in many cases, these symptoms negatively affect quality of life. Despite its prevalence, spasticity as a syndrome in the SCI population is not always managed effectively. This is likely due to the fact that the syndrome can have various presentations, each with their own specific etiology. This overview summarizes the symptoms and pathophysiology of the various presentations of spasticity in the SCI population and discusses the currently accepted management techniques. There is a need for a better understanding of the syndrome of spasticity as well as the development of a valid and reliable assessment tool.

Keywords:

spinal cord injury, spasticity, pathophysiology, management, definition, prevalence

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