2004 suplement 2

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Volume 13, suplement 2

Interdisciplinary problems of spasticity

Selected problems of assessment and physiotherapy in spasticity

MACIEJ KRAWCZYK1, ALEKSANDER LIZAK2, WIESŁAW CHWAŁA3
1. Pracowni Fizjoterapii II Kliniki Neurologicznej Instytutu Psychiatrii i Neurologii w Warszawie
2. RehaPlus Edukacja w Krakowie
3. Katedry Rehabilitacji Akademii Wychowania Fizycznego w Krakowie
Postępy Psychiatrii i Neurologii, 2004, suplement 2 (18), 23-28
Keywords: spasticity, physiotherapy, three-dimensional analysis of movement

Abstract

Aim. To analyse some aspects of spasticity and to introduce current knowledge about the assessment and physiotherapy of the condition.

Review. The process of rehabilitation is prolonged and more difficult when spasticity occurs. It is difficult to evaluate treatment methods. Application of reflex activity (tonic neck reflexes and associated reactions) and movement strategies to relieve muscle tension after CNS lesions was proposed. Pathological patterns of movement were analysed. A three-dimensional cinematic system for spasticity assessment Vicon using visualization of associated reactions was introduced. The goal of physiotherapy after the CNS damage consists in re-education of impaired functions, also by regaining the normal muscle lane.

Address for correspondence:
Dr Maciej Krawczyk, Pracownia Fizjoterapii II Kliniki Neurologicznej, ul. Sobieskiego 9, 02-957 Warszawa, e-mail: maciek@fizjoterapia.pl