The Concept of Guided Self-Rehabilitation Contracts in the Treatment of Deforming Spastic Paresis

Conventional community-based therapy is quantitatively insufficient in most health systems and thus lacks meaningful functional efficacy in chronic deforming spastic paresis. In the past decades, medicine, constraint-induced or robot-assisted therapies have not emphasized treatment of the muscle disorder inherent to the syndrome of deforming spastic paresis. [1,2] To address both the muscle disorder (“spastic myopathy”, part of the soft tissue contracture) and the neural disorder (stretch-sensitive paresis in agonists and spastic cocontraction in antagonists) two basic techniques may be involved in proportions t…