Occurs because of the UMN lesion; muscles below level of injury become spastic after spinal shock subsides
Signs and symptoms: Spasms: all cervical, 75%thoracic, 58% lumbar
Factors causing spasm: infection, positioning, pressure sores, emotions
Advantages: build muscle mass, increased circulation which helps to prevent pressure sores, improved ADLs/ transfers
Disadvantages (Precautions): Increase in spasticity can cause: contractures, pain, decreased function. Watch for fever, bladder infections, skin breakdown.
TX: Medical = nerve blocks, medications, surgical release OT = Tell OTR if spasms have increased in frequency &/or duration. ROM, splinting in functional positions, positioning in chair or bed in patterns outside of spasticity pattern.