Pathophysiology of impairment in patients with spasticity and use of stretch as a treatment of spastic hypertonia.

@article{Gracies2001PathophysiologyOI,
  title={Pathophysiology of impairment in patients with spasticity and use of stretch as a treatment of spastic hypertonia.},
  author={Jean-Michel Gracies},
  journal={Physical medicine and rehabilitation clinics of North America},
  year={2001},
  volume={12 4},
  pages={747-68, vi}
}
Paralysis, muscle shortening, and muscle overactivity are the three main disabling factors in patients with spasticity. Occurring after most central lesions, muscle overactivity and shortening are not equally spread throughout all muscles of the body. In an agonist-antagonist couple, there is invariably "greater" overactivity and shortening of one versus the other. This is the rationale for the use of targeted local treatments that train the weaker agonist and stretch and partially block the… CONTINUE READING

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