The degree of spasticity and spasms can vary from person to person, day to day, hour to hour and can impact on many activities. Nevertheless, spasticity can be successfully managed.
In an MS Society survey, 64% of people with MS reported muscle stiffness and 51% muscle spasms. Further, 17% stated that muscle stiffness caused them the most difficulty and distress on a daily basis and 14% reported similarly on muscle spasms
Consequences of spasticity
Spasticity can affect physical activities such as walking, transferring, picking up objects, washing, dressing and sexual activity. It can also have an emotional impact, on for example mood, self-image and motivation.Management of spasticity
It is important to prevent aggravating factors. Spasms, for example, can occur in response to sensory stimulation such as skin irritation, pressure sores, ingrowing toenails or visceral stimulation including incomplete bladder emptying, constipation, or infections such as urinary tract infections.- Physiotherapy: Physiotherapists can carry out specific treatments to assist an individual to manage muscle tone. Treatment may include appropriate exercise programmes that may encompass stretches, active exercises or standing. Advice can also be given regarding posture and positioning throughout the day.
- Occupational therapy: Occupational therapists can play a role in assessing and recommending appropriate adaptations to an individual’s environment and advising on how to make daily activities easier. Correct seating is of particular importance in managing spasticity.
- Medication:
- Baclofen
- Gabapentin
(published with permission in writing from:http://www.mstrust.org.uk)
