Parkinson’s disease is one of the most common movement disorders characterized by bradykinesia, rigidity, resting tremor and postural instability (Fahn, 2003). It affects nearly five million elderly people worldwide (de Lau & Breteler, 2006). As the population ages, the incidence and prevalence of Parkinson’s disease are expected to increase dramatically (Dorsey et al., 2007; Tanner & Goldman, ...

OBJECTIVE To evaluate the beneficial effect of botulinum toxin A (Botox) injection into the subscapularis muscle on intractable hemiplegic shoulder pain. METHODS Six stroke patients with intractable hemiplegic shoulder pain were included. Botulinum toxin A was injected into the subscapularis muscle. Intractable hemiplegic shoulder pain was evaluated using an 11-point numerical rating scale. P...

[Purpose] The purpose of this meta-analysis was to assess the effects of extracorporeal shock wave therapy (ESWT) on reducing spasticity immediately and 4 weeks after application of ESWT. [Subjects and Methods] We searched PubMed, TCL, Embase, and Scopus from their inception dates through June 2013. The key words "muscle hypertonia OR spasticity" were used for spasticity, and the key words "sho...

Spastic cerebral palsy (CP) is the most common type of CP. Up to 80% of all individuals with cerebral palsy suffer from some degree of spasticity. Spasticity adversely affects muscles and joints of the extremities, causing abnormal movements, and it is especially harmful in growing children. Several methods have been developed and used to assess spasticity. The most commonly used test in clinic...

Spasticity is a common complication after an upper motor neuron lesion and can involve a single or multiple muscle groups. When spasticity involves muscles around the foot, the typical pattern is ankle plantar flexed and inverted and toes flexed and adducted, giving rise to equinovarus deformity [1]. This pattern occurs due to the involvement of several muscles working in combination. Spasticit...

BACKGROUND OnabotulinumtoxinA has demonstrated significant benefit in adult focal spasticity. This study reviews the injection patterns (i.e., muscle distribution, dosing) of onabotulinumtoxinA for treatment of adult spasticity, as reported in published studies. METHODS A systematic review of clinical trials and observational studies published between 1990 and 2011 reporting data on muscles i...

[Purpose] This study report a case of a patient with hemiparetic stroke who showed significantly reduced foot pain when ankle spasticity was reduced using nerve and motor point blocks with 20% ethyl alcohol. [Subject and Methods] A 58-year-old woman with left hemiparesis following intracranial hemorrhage five years previously presented with pain in the left fifth metatarsal head for two years (...

Objective: The study assessed the effect of a single session of repetitive peripheral magnetic stimulation (rpMS) combined with manual stretch on wrist and finger flexor muscle spasticity. Methods: Forty chronic patients after CNS lesion with a severe wrist and finger flexor spasticity with a Modified Ashworth Score (MAS, 0-5) of either 2, 3 or 4 participated and formed two groups. A single ses...

Objective: To explore, following a literature review, if there was a consistent definition and a unified assessment framework for the term ‘spasticity’. The congruence between the definitions of spasticity and the corresponding methods of measurement were also explored. Data sources: The search was performed on the electronic databases of Web of Science, Science Direct and Medline. Review metho...

OBJECTIVES The purpose of this study was to determine the effect of botulinum toxin injections for the treatment of spasticity after traumatic spinal cord injury. METHODS 9 patients were included in this prospective designed study, with a follow-up of at least 2 years. All patients suffered from a massive spasticity after traumatic spinal cord lesion. Conservative treatment options did not sh...