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It is quite difficult to get the joint functioning again. Is it Paralysis ? spasticity -

Paralysis and spasticity - Q: Even though I have got some movement back, I can't use my arm because it feels so stiff. The physio says this is due to 'spasticity'. What is it and what treatment can I have for it? A: Spasticity is the medical term for muscles that are abnormally stiff. Initially after a stroke your muscles will be floppy (flaccid) as well as weak. For example, if your arm or leg is lifted and put through a range of movements, there will seem to be very little resistance. Within a few days after the stroke, even if no strength has returned, the muscles usually start to stiffen. When someone tries to move the arm or leg for you, it will be much more difficult. Several factors can make the stiffness worse: It is very important that the stiffness of your muscles is not allowed to become too severe, because if the muscles are very stiff it will become very difficult for you to move them once your strength starts returning. The treatment lies in recognising that there is a problem and then doing everything possible to prevent it. Within a few minutes of starting a treatment session, a skilled physiotherapist can reduce stiffness in muscles by getting your posture right and manipulating your limbs. It is important that the physiotherapist tells the nurses about how you should be moved and positioned correctly. If the stiffness is not treated early, the joints and muscles can get so stiff that it becomes impossible for anyone to move the joint - a contracture. Once this has happened, it is quite difficult to get the joint functioning again.
Tue, 28 Jul 2009
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  User's Response
Q: Several of my joints have become so stiff that I can't move them, which makes it difficult for me to even sit comfortably. What can be done to straighten out my arms and legs? A: The treatment of these contractures is extremely difficult. Really the only way to tackle them is to put splints on your arms and legs to stretch them out. The physiotherapist or occupational therapist will make splints that you wear for as much of the day and night as you can tolerate. As each joint starts to stretch out, a new splint will be made that stretches it even further. The splinting is combined with physiotherapy. It can be very painful to try to stretch a fixed joint and you will probably need quite strong pain-killers before your treatment session. The process is slow and there is no guarantee of success. If it doesn't work and you can't even sit comfortably, it is sometimes feasible to have an operation to cut the tendons, which are the fibrous bands that connect the muscle to the bone, and stretch the joint out u
  User's Response
Spasticity Treatment In some patients with mild spasticity, the best treatment may be no treatment, with a watch-and-wait strategy. Typically, treatment is reserved for spasticity that causes pain, interferes with activities of daily living or sleep, or leads to increasing levels of functional disability. Some key questions that should be answered before beginning any treatment for spasticity include: 1. Is treatment necessary? 2. Do the patient and caregiver have the time and resources necessary to put the treatment into action? 3. Will the treatment improve the patient's or the caregiver's quality of life? Treatment Goals Patient and family expectations regarding the possibilities of treatments and outcomes may be realistic or unrealistic. Inappropriate expectations about the effectiveness of treatment may lead to disappointment regarding relief of symptoms and pain. Therefore, ongoing communication and agreement by the patient, caregivers, and healthcare professionals regarding the goa
  User's Response
What I have seen is that Physiotherapy plays an IMP role in the improving the life of these patients...
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