AA

Physical Interventions

Mrs. A.J. would like to learn more about how spasticity can be treated and she is adamant about not using medications. Mrs. A.J. wants to know what interventions are available and whether they are worthwhile in trying.
Q17. List physical therapies used in treatment of spasticity.
1. Rhythmic passive movements
2. Muscle stretch (Level 2 and 4 evidence)
3. Active exercise interventions (Level 4 evidence)
4. Electrical stimulation. (Level 1,2 and 4 evidence)
5. Neural Facilitation and Baclofen *(the positive effects of this combination treatment may be due to baclofen alone) (Level 1 evidence)
6. Hippotherapy (figure 10). (Level 4 evidence)


Figure 10
. Hippotherapy may result in short-term reductions in spasticity

Q18. Provide the evidence for physical therapies used in treatment of spasticity.
1. Rhythmic passive movements may produce short-term reductions in spasticity.
2. Prolonged standing or other methods of producing muscle stretch may result in reduced spasticity.
3. Active exercise interventions such as hydrotherapy and (FES) functional electrical stimulation-assisted walking may produce short-term reductions in spasticity.
4. Electrical stimulation applied to individual muscles may produce a short term decrease in spasticity. There is also some concern that long-term use of electrical stimulation may increase spasticity.
5. Hippotherapy may result in short-term reductions in spasticity.
6. A combination of neural facilitation techniques and Baclofen may reduce spasticity.