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Spasticity

What is it?

Spasticity is a condition in which the muscles are stiff and weak.

Who gets it?

Spasticity often occurs in people with damage to the central nervous system.

What causes it?

Damage to the central nervous system affects muscle coordination and movement. Around 75 percent of patients with severe to moderate brain injury, 20 percent of patients with stroke, 70 percent of patients with cerebral palsy, and 60 percent of patients with moderate to severe multiple sclerosis experience spasticity.

What are the symptoms?

Someone who is spastic has stiff, weak muscles that are difficult to stretch. It usually involves the flexors of the arms and the extensors of the legs.  In moderate to severe cases, the patient requires great effort to move and lacks coordination.  Patients with mild spasticity may be able to coordinate gross motor activities, but have difficulty with fine motor skills.

How is it diagnosed?

A diagnosis of spasticity is based upon the observable symptoms.

What is the treatment?

Spasticity is treated through physical therapy, occupational therapy, braces, and in some cases, surgery to improve muscle control.  There is evidence that botulinum toxin, if used appropriately, may be effective in treating adults with spasticity.  Botulinum toxin is a local muscle relaxant that can improve joint mobility and relieve pain when injected correctly.

Self-care tips

If you are affected by spasticity, follow your doctor's recommendations for treatment and therapy.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice. 

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This page was last updated on October 31, 2006
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