Spasticity after stroke: How can we accurately measure this debilitating condition? This paper addresses the complexities of defining and measuring spasticity, a common clinical syndrome characterized by increased muscle tone following a stroke. The article acknowledges the widely accepted definition by Lance, which describes spasticity as a motor disorder with velocity-dependent increases in tonic stretch reflexes. However, the author emphasizes that this definition does not fully capture the multifaceted nature of spasticity, which involves patient volition, inertia, visco-elastic muscle forces, and joint range of movement. In clinical practice, distinguishing between these contributing factors can be challenging. The review also discusses the physiopathological changes in spastic muscle, including stiffness, atrophy, fibrosis, and contracture. The paper underscores the need for a comprehensive approach to assessing spasticity, recognizing its diverse components and the difficulties in isolating specific features during clinical evaluation.
The paper in Reviews in Clinical Gerontology is contextually relevant due to the journal’s focus on health issues affecting older adults, including stroke-related complications. By addressing the challenges in measuring spasticity, a common issue post-stroke, the paper aligns well with the journal's goal of providing insights into clinical management and improving geriatric patient care.