Upper Limb Spasticity

Upper limb spasticity is a condition that causes an abnormal increase in muscle stiffness and tightness of the upper limbs. It is a common type of movement disorder seen in people after brain or spinal cord injuries as well as those affected by cerebral palsy, multiple sclerosis or stroke. It can cause impairment of fine and gross motor tasks and can result in significant physical disability.

People with upper limb spasticity often have difficulty with activities of daily living such as getting dressed, eating, writing, and brushing teeth. They may also have difficulty with mobility, and problems with reaching, grasping, and releasing objects.

Treatment for Upper Limb Spasticity

Treatment for upper limb spasticity should include a team approach that includes an occupational therapist, physical therapist, physician, social worker, and speech therapist. The goal of treatment should be to reduce the amount of spasticity while preserving as much function as possible. Treatment may include:

Medications: There are many medications that can be used to reduce spasticity. These may include muscle relaxants, baclofen, diazepam, and Botulinum toxin injections.
Physical therapy: Physical therapy can help to improve strength, range of motion, coordination, and gait. It can also help to reduce spasticity.
Occupational therapy: Occupational therapy can help to improve activities of daily living and increase independence.
Surgery: In some cases, surgery may be necessary to reduce spasticity in the upper limbs.
Assistive devices: Assistive devices can be used to help the person with upper limb spasticity to perform activities of daily living more independently.

Prevention of Upper Limb Spasticity

Preventing the onset of upper limb spasticity can be difficult, but there are some steps that can be taken to reduce the risk. These include increasing the person's activity level to maintain strength and flexibility, seeking early treatment for any neurological conditions, avoiding over-exertion of the limbs, and using assistive devices when needed.

It is important to remember that upper limb spasticity can be disabling and can have a significant impact on the quality of life for those affected. It is important to seek early treatment to reduce the effects of the condition and to improve the person's ability to perform activities of daily living.