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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Spasticity</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Spasticity is stiff or rigid muscles. It may also be called unusual tightness or increased muscle tone. Reflexes (for example, a knee-jerk reflex) are stronger or exaggerated. The condition can interfere with walking, movement, speech, and many other activities of daily living.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Considerations</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Spasticity is often caused by damage to the part of the brain that is involved in movements under your control. It may also occur from damage to the nerves in the spinal cord.</p><p>Symptoms of spasticity include:</p><ul><li>Abnormal posture</li><li>Carrying the shoulder, arm, wrist, and finger at an abnormal angle because of muscle tightness</li><li>Exaggerated deep tendon reflexes (the knee-jerk or other reflexes)</li><li>Repetitive jerky motions (clonus), especially when you are touched or moved</li><li>Scissoring (crossing of the legs as the tips of scissors would close)</li><li>Pain or deformity of the affected area of the body</li></ul><p>Spasticity may also affect speech. Severe, long-term spasticity may lead to <a test="test" href="./003185.htm">contracture</a> of muscles. This can reduce range of motion or leave the joints bent.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Spasticity may be caused by any of the following:</p><ul><li>Brain damage caused by lack of oxygen, as can occur in <a test="test" href="./000046.htm">near drowning</a> or near suffocation</li><li><a test="test" href="./000716.htm">Cerebral palsy</a> (group of disorders due to brain injury at birth)</li><li>Cervical spinal stenosis</li><li>Head injury</li><li>Infections of brain or spinal cord (Lyme disease, syphilis, HIV, tuberculosis)</li><li><a test="test" href="./000737.htm">Multiple sclerosis</a></li><li>Neurodegenerative illness (illnesses that damage the brain and nervous system over time)</li><li><a test="test" href="./001166.htm">Phenylketonuria</a> (disorder in which the body can't break down the amino acid phenylalanine)</li><li>Spinal cord injury</li><li><a test="test" href="./000726.htm">Stroke</a></li><li>Tumors in brain or spinal cord</li><li>Toxins (nitrous oxide or "laughing gas")</li><li>Vitamin or mineral deficiency (vitamin B12, vitamin E, copper)</li></ul><p>This list does not include all conditions that can cause spasticity.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Home Care</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Exercise, including muscle stretching, can help make symptoms less severe. Physical therapy is also helpful.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Contact your health care provider if:</p><ul><li>The spasticity gets worse</li><li>You notice deformity of the affected areas</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What to Expect at Your Office Visit</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Your doctor will perform a physical exam and ask about your symptoms, including:</p><ul><li>When was it first noticed?</li><li>How long has it lasted?</li><li>Is it always present?</li><li>How severe is it?</li><li>Which muscles are affected?</li><li>What makes it better?</li><li>What makes it worse?</li><li>What other symptoms are present?</li></ul><p>After determining the cause of your spasticity, the provider may refer you to a physical therapist. Physical therapy involves different exercises, including muscle stretching and strengthening exercises. Physical therapy exercises can be taught to parents who can then help their child do them at home.</p><p>Other treatments may include:</p><ul><li>Medicines to treat spasticity. These need to be taken as instructed.</li><li>Botulinum toxin that can be injected into the spastic muscles.</li><li>In rare cases, a pump used to directly deliver medicine into the spinal fluid and nervous system.</li><li>Sometimes surgery to release the tendon or to cut the nerve-muscle pathway. </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Muscle stiffness; Hypertonia</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/8679t.jpg" alt="Central nervous system and peripheral nervous system" title="Central nervous system and peripheral nervous system" class="side-img"/><a href="../imagepages/8679.htm">Central nervous system and peripheral nervous system</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Deluca GC, Griggs RC. Approach to the patient with neurologic disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 368.</p><p>McGee S. Examination of the motor system: approach to weakness. In: McGee S, ed. <em>Evidence-Based Physical Diagnosis.</em> 5th ed. Philadelphia, PA: Elsevier; 2022:chap 61.</p><p>Oleszek JC, Davidson LT. Spasticity. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. <em>Nelson Textbook of Pediatrics.</em> 21st ed. Philadelphia, PA: Elsevier; 2020:chap 730.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 1/23/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Joseph V. Campellone, MD, Department of Neurology, Cooper Medical School of Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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