Pharmacological treatment of spasticity

The treatment of spasticity should strictly follow functional considerations in modern neurological rehabilitation. The therapeutic team will develop a multi-lever treatment program for spasticity, with drugs being only one of several options. Oral antispastic medication seems to have lost influence over the last years, at least in stroke rehabilitation. Painful muscle twitches related to spasticity and functionally incapacitating cloni may be an indication, and a close monitoring of the patients at the beginning of the treatment is helpful to detect fatigue and muscle weakness as well known side effects. A new…