Neurológia pre prax 1/2015

Treatment of spasticity

Spasticity is a serious manifestation of central nervous system disease causing significant deterioration in the quality of life of the patient. It is encountered in aetiologically diverse types of brain and/or spinal cord injury – most commonly stroke, poliomyelitis, multiple sclerosis, and nervous system trauma. Treatment of spasticity is characteristic for its comprehensive nature taking into account the specific aetiology as well as the extent and duration of nervous system injury. It consists of a combination of three groups of therapeutic strategies: rehabilitation, pharmacological, and surgical treatment. The paper presents an overview of the guidelines on treatment of spasticity with a special regard to the use of treatment with botulinum toxin A in the cases of spasticity in poliomyelitis and post-stroke spasticity.

Keywords: spasticity, botulinum toxin A, poliomyelitis, stroke.