Spasticity. Clinical applications physiological and pathophysiological concepts

Rodrigo Bolaños-Jiménez, Jorge Arizmendi-Vargas, José Luis Calderón-Álvarez Tostado, José Damián Carrillo-Ruiz, Gerardo Rivera-Silva, Fiacro Jiménez-Ponce

Research output: Contribution to journalLiterature review

Abstract

Objective: Spasticity is one of the signs described since centuries ago. Nevertheless, this definition per se would be difficult to understand, inclusive for the neurologist, neurosurgeon and therapist. This review pretends to analyze the meaning and clarify the vision of what does it stand for in clinical practice, to differentiate between one patient with spasticity from one that does not. Development: Spasticity is a secondary disease to an insult of the central nervous system. It is defined as an augmentation of muscular stretch reflex that depends of the muscular movement for its manifestation. Pathogenic mechanisms involved in this disorder include an increased neuronal excitation and a decreased neuronal inhibition, that bring as consequence, hyperreflexia and/or hypertonic muscular reflex. Conclusions: Spasticity is the result of the effect of different events occurring in the central nervous system, including trauma, demyelinizant diseases, tumors, etc. Main damage is caused to the pyramidal tract, but is not clear the role of others anatomical pathways, causing hypertonic and hyperreflectic signs as consequence, being these not evident in other nosological entities.
Original languageEnglish
JournalRevista Mexicana de Neurociencia
Publication statusPublished - 1 May 2011
Externally publishedYes

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Physiological Phenomena
Central Nervous System
Nervous System Trauma
Stretch Reflex
Abnormal Reflexes
Pyramidal Tracts
Reflex
Neoplasms
Neurologists
Neurosurgeons
Inhibition (Psychology)

All Science Journal Classification (ASJC) codes

  • Neuropsychology and Physiological Psychology
  • Neurology
  • Clinical Neurology
  • Public Health, Environmental and Occupational Health

Cite this

Bolaños-Jiménez, R., Arizmendi-Vargas, J., Calderón-Álvarez Tostado, J. L., Carrillo-Ruiz, J. D., Rivera-Silva, G., & Jiménez-Ponce, F. (2011). Spasticity. Clinical applications physiological and pathophysiological concepts. Revista Mexicana de Neurociencia.
Bolaños-Jiménez, Rodrigo ; Arizmendi-Vargas, Jorge ; Calderón-Álvarez Tostado, José Luis ; Carrillo-Ruiz, José Damián ; Rivera-Silva, Gerardo ; Jiménez-Ponce, Fiacro. / Spasticity. Clinical applications physiological and pathophysiological concepts. In: Revista Mexicana de Neurociencia. 2011.
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Bolaños-Jiménez, R, Arizmendi-Vargas, J, Calderón-Álvarez Tostado, JL, Carrillo-Ruiz, JD, Rivera-Silva, G & Jiménez-Ponce, F 2011, 'Spasticity. Clinical applications physiological and pathophysiological concepts', Revista Mexicana de Neurociencia.

Spasticity. Clinical applications physiological and pathophysiological concepts. / Bolaños-Jiménez, Rodrigo; Arizmendi-Vargas, Jorge; Calderón-Álvarez Tostado, José Luis; Carrillo-Ruiz, José Damián; Rivera-Silva, Gerardo; Jiménez-Ponce, Fiacro.

In: Revista Mexicana de Neurociencia, 01.05.2011.

Research output: Contribution to journalLiterature review

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T1 - Spasticity. Clinical applications physiological and pathophysiological concepts

AU - Bolaños-Jiménez, Rodrigo

AU - Arizmendi-Vargas, Jorge

AU - Calderón-Álvarez Tostado, José Luis

AU - Carrillo-Ruiz, José Damián

AU - Rivera-Silva, Gerardo

AU - Jiménez-Ponce, Fiacro

PY - 2011/5/1

Y1 - 2011/5/1

N2 - Objective: Spasticity is one of the signs described since centuries ago. Nevertheless, this definition per se would be difficult to understand, inclusive for the neurologist, neurosurgeon and therapist. This review pretends to analyze the meaning and clarify the vision of what does it stand for in clinical practice, to differentiate between one patient with spasticity from one that does not. Development: Spasticity is a secondary disease to an insult of the central nervous system. It is defined as an augmentation of muscular stretch reflex that depends of the muscular movement for its manifestation. Pathogenic mechanisms involved in this disorder include an increased neuronal excitation and a decreased neuronal inhibition, that bring as consequence, hyperreflexia and/or hypertonic muscular reflex. Conclusions: Spasticity is the result of the effect of different events occurring in the central nervous system, including trauma, demyelinizant diseases, tumors, etc. Main damage is caused to the pyramidal tract, but is not clear the role of others anatomical pathways, causing hypertonic and hyperreflectic signs as consequence, being these not evident in other nosological entities.

AB - Objective: Spasticity is one of the signs described since centuries ago. Nevertheless, this definition per se would be difficult to understand, inclusive for the neurologist, neurosurgeon and therapist. This review pretends to analyze the meaning and clarify the vision of what does it stand for in clinical practice, to differentiate between one patient with spasticity from one that does not. Development: Spasticity is a secondary disease to an insult of the central nervous system. It is defined as an augmentation of muscular stretch reflex that depends of the muscular movement for its manifestation. Pathogenic mechanisms involved in this disorder include an increased neuronal excitation and a decreased neuronal inhibition, that bring as consequence, hyperreflexia and/or hypertonic muscular reflex. Conclusions: Spasticity is the result of the effect of different events occurring in the central nervous system, including trauma, demyelinizant diseases, tumors, etc. Main damage is caused to the pyramidal tract, but is not clear the role of others anatomical pathways, causing hypertonic and hyperreflectic signs as consequence, being these not evident in other nosological entities.

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Bolaños-Jiménez R, Arizmendi-Vargas J, Calderón-Álvarez Tostado JL, Carrillo-Ruiz JD, Rivera-Silva G, Jiménez-Ponce F. Spasticity. Clinical applications physiological and pathophysiological concepts. Revista Mexicana de Neurociencia. 2011 May 1.