Physiotherapy in the Spastic Syndrome

The spastic syndrome after a lesion of the CNS is not a primary impairment. Nowadays it is seen as an adaptive process, which can hinder recovery of function after a paresis as well as create secondary complications. The restructuring of the CNS after a lesion is regulated by lesion-induced plasticity but the activity or non-activity of neuronal pathways seems to contribute to this process. Therefore, to influence the recovery process, therapy in upper motor neuron syndrome should be impairment orientated. The development of so-called „positive symptoms“ of the upper motor neuron syndrome needs to be delayed by…