How can physiotherapy reduce spasticity in stroke patients?

Physiotherapy. If possible, standing promotes anti-gravity muscle activity in the trunk and lower limbs. It also maintains or improves soft tissue and joint flexibility and modulation of the neural component of spasticity.

How do physical therapists reduce spasticity?

Spasticity treatment

Positioning, prolonged muscle stretching, splinting, and motor-level stimulation were indicated as modalities most commonly used by clinicians to manage spasticity.

How do you reduce spasticity after a stroke?

Exercise and stretching are important treatments for spasticity.


  1. Change your position every 1 to 2 hours during the day.
  2. Position your affected arm or leg to keep its mobility. …
  3. Exercise all your joints at least twice each day.
  4. Do not allow your affected arm or leg to be under your body when you are lying down.

Can physical therapy help spasticity?

Physical therapy is the mainstay of treatment for spasticity, and is designed to reduce muscle tone, maintain or improve range of motion and mobility, increase strength and coordination, and improve care and comfort.

How do you reduce spasticity?

Spasticity can be reduced by:

  1. Performing stretching exercises daily. Prolonged stretching can make muscles longer, helping to decrease spasticity and prevent contracture.
  2. Splinting, casting, and bracing. These methods are used to maintain range of motion and flexibility.
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Does heat help spasticity?

In more persistent injuries like muscle spasms, heat is often the remedy. Applying heat to muscle spasms will help relax the spasm. On an acute injury, like a sprain or fracture where swelling or inflammation is apparent, then ice is usually your first step within 24-36 hours of being injured.

How does stretching help spasticity?

Sustained passive muscle stretching for a long duration improves the range of movements, and reduces the spasticity of muscles11,12). Passive muscle stretching activates Golgi tendon organs and inhibits the excitability of alpha motor neurons.

Does exercise make spasticity worse?

The results of this study suggest that graded resistive exercise is not detrimental to post-stroke spastic muscle, and should be considered as a possible remediation for the deficits of muscle weakness and reduced function in post-stroke individuals.

What can worsen spasticity?

Extreme cold and extreme heat are both common spasticity triggers. Your body temperature may change because of the weather, exercise, your clothing, or a fever. When possible, wear layers so you can peel some off when you get hot. Avoid the outdoors during extreme temperatures.

How do I relax my spastic muscles?

How are muscle spasms (muscle cramps) treated?

  1. Stretch the affected area.
  2. Massage the affected area with your hands or a massage roller.
  3. Stand up and walk around.
  4. Apply heat or ice. Put an ice pack together or apply a heating pad, or take a nice warm bath.
  5. Take painkillers such as ibuprofen and acetaminophen.

Does massage help spasticity?

Massage therapy helps relax spastic muscles by manually lengthening the shortened muscle fibers. By reducing muscle tone, massage therapy helps improve range of motion, motor control, and flexibility.

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How does physiotherapy improve muscle tone?

Physiotherapy for high tone

  1. Exercises to relax tight muscles during everyday activities such as standing walking, transferring.
  2. Activities to increase sensation and relax sensitive muscles.
  3. Muscles stretching to relieve tightness and ease pain.
  4. Strengthening exercises as high tone may lead to weakness.

Does weight bearing reduce spasticity?

This case report supports the application of weight-bearing through the paretic limb, which has been proven to be beneficial for reducing spasticity and increasing ROM to improve gait patterns for a patient recovering from a CVA.