Management of spasticity in adults

Abstract

Spasticity is one of the most common and disabling impairments seen in patients with an upper motor neurone disorder such as stroke, brain injury and multiple sclerosis. It is increasingly accepted that spasticity remains an unrecognised and underdiagnosed impairment in primary care. This is worrying, as untreated spasticity leading to permanent contractures can be a late presentation in many conditions. There is an onus on GPs to recognise the common symptoms of spasticity and initiate management. This article will focus on practical aspects in the management of spasticity including timely referral to secondary care.