Spasticity,rigidity,dystonia..three types of hypertonia Spasticity/resistance in one direction and is velocity dependant+hyperreflexia+may be clonus ,occur in /stroke,cerebral palsey,brain injury Dystonia//there is abnormal posture and twisting repetitive movements sometimes tremor,occur in/head injury ,cerebral palsey or isolated problem Rigidity//not velocity dependant occur in both directions even with slow movement ,can occur in Parkinson disease. From video,thank u very informative
Thank you so much! I've been reviewing for my neuro clerkship which starts in January and the concepts of spasticity v. rigidity v. dystonia have always been hard to differentiate. This helped a lot!
Thank you so much. This was very helpful. My mother has dementia, and year ago had a fall/ head injury, possibly mini stroke. I definitely see she has both dystonia and spasticity in her one arm/legs. This clarification in your video helps me to help her! I'm a bodyworker. Thank you.
Hi,what type of thing is this - muscles move,push,squeeze,pull,throbbe at the same time,starting with the injury site - back of head, and goes all over body,absolute inability to relax muscles,any massage or exercises make it worse,body twitch more. Trying to relax increases everything,feels like some force inside affecting constantly. Have to squeeze all muscles tightly constantly to get some relief for a second. Tensing them is better,no ability to relax at all,because symptoms intensify.
This is very helpful. For a mild hemiplegic CP toddler. What might you think of weak core, left arm held in slinglike position all day (not so rigid u cant move it). Then on same side hemiplegia leg is bent and other legs heel (opposite Hemiplegic leg) heel tapping repetitively on floor?
Hey, for 5 years i have been going through few second attacks that happen every time i move a part of my body. The current state of when my attacks occur is that when i move my arm or my leg suddenly or react to a door bell or try cross the road or stand up from sitting position quickly one side of my body gets stiff and goes in a crawling position. It has come to a point that my jaws also goes in a crawling position. I am a confident person but these attacks make me less sociable with people. Please help.
Hi I love your video. It is so informative ❤️ I have a question to you Maam. Hope you will notice me. I dont know what type of syndrome I have but everytime I contract my muscles it become resistive for a moment and I cant bend it back again so easily to normal position when I tried to force to because my muscle will retain in contraction state. But when I just ignore and dont use force. My muscles will turn to relax slowly. It is just a hindrance in my everyday movements especially when I play sports game. What treatment should I do?
If I feel my muscle get tight and vibrate (kinda like when you are making push ups and your muscle vibrate) but only when doing flexion and extension movements does that would be rigidity?
Hi there I just came across this video as recently I was told I have autosomal recessive spastic ataxia after 30 years been told I had cp. Can you please inform me of any treatment to reduce the deterioration of my muscle tone? I would really appreciate that thank you.
On the Utah Neuro Rehabilitation RUclips channel we have several videos that can help. It is super helpful to keep stretching. A video called "Stretching legs with Rapunzel" shows some basic stretches. A couple more videos that might help are: Does exercise help after a brain injury?, Treating spasticity in cerebral palsy, Treating spasticity in stroke. A physical therapist could probably give you some specific suggestions.
How about your head shakes when taking a photo? Or if you need to focus it into one direction? My head shakes every time I need to take a photo for my ID and when I need to get checked to see my new prescription.
Hi, I was on diazepam for upper body tightness that happened after spinal disc herniation at base of spine and disc broke off and got into spinal canal requiring surgery. After surgery big jolt in mid back and whole upper back went solid and head heavy etc. Have been on diazepam since week after surgery in 2001. Now in severe Benzodiazepine withdrawal and sensitised nervous system. Can’t take any meds or supplements. All muscles in back, buttocks, neck, shoulders, face, legs, abs, sides are extremely hard and tight. As get lower on dose again they get rigid. Thos is constant even when lying down. No position is bearable. Back muscles so contracted forcing sound to arch up. Lying on side hips and shoulders etc are so tight too painful etc. If muscles don’t release at all in any position is that rigidity? Any ideas what I can do? Stretches, massage, osteopathy, myofascial release etc do not help. ThankS
Sorry to hear this. There are several medications that might be helpful. Are you able to take any medications? Also, light aerobic exercise can sometimes help. Have you talked to a physician specializing in physical medicine and rehabilitation?
Utah Neuro Rehabilitation Thank you for replying. Unfortunately I am now not able to take anything. Neuro has tried baclofen, Tizanidine, Topirimate, Dantrolene.etc etc.. Even magnesium & Vit D etc cause severe reaction due to nervous system sensitisation. Can’t do any exercises, can hardly stand up and lying down is more and more unbearable as taper lower but now paradoxical to Benzos. Is there anyway to address the sensitisation?
i hope you were able to titrate off the benzodiazepene in a safer way. i heard of liquid micro taper; i heard slowly going off it can can years. a pharmacist or chemist should be able to teach how to use lab equipment to slowly taper. i haven't experienced this myself but i saw it in a documentary
That is an excellent idea. Yes, I will. It will take a few months before we will get it out. I need to write it and then film it and I have several videos lined up for the next 2 months. Thanks for the idea.
There are many ways to manage spasticity. We can't really "cure" it, but we can make it better. Check out the spasticity play list on the Utah Neuro Rehabilitation RUclips channel.
Hello mam. My daughter is 30 months old she can't walk without support. In her mri report it was mentioned that she has delayed myelination andwhite matter signal abnormality in periventicular brain paranchyma. We we visited neurologist he said no need to worry about she Will recover soon. He also said that she has spastic legs and exaggerated knee reflux. that's why she has walking difficulty. He advised us to use baby walker and my daughter walks very well in walker she also stands up by pulling up objects. What do u suggest for my daughter. Doctor also gave us baclin tablets ceremin syrup and prosense syrup. Overall my daughter is active and healthy. I m so worried so plz tell me that can a child with spastic leg walks or it is not possible?
Can rigidity and spasticity be caused by chronic or extreme stress/anxiety? When I get stressed/anxious my fingers joints start to tighten in like a claw, (I can still fully extend but joints are sore), The same as my toes and foot, mainly my right foot…like I can feel the rigidity in my toes, especially big toe knuckle and just behind the ball of my foot… When my stress/ anxiety is alleviated, it goes away. ???
Stress and anxiety can cause tight muscles. Also, some people can get dystonia when they hyperventilate. But you need to have a neurologic disorder to have true spasticity or rigidity.
I'm really worried...suddenly since yesterday I have some kind of weird spasm every few seconds in the lower right side off my belly/back...when I stand or walk i don't feel it or notice...but when sit or lay down I get this constant spasm every 4-6 seconds...why is this ?? How can I cure it? I am really worried
Is spasticity always present If you have it? My muscles sometimes bounce back if I try to stretch. After holding my muscle in the same positsion for a long time. It is quite painful. When I stretch a bit this feeling goes away. As I understood this video spasticity should be always there.
Muscle tone does not mean bigger muscles. I have seen people with spasticity with big, small and medium sized muscles. Interestingly, I have seen people with severe spasticity with very small muscles. You would think that constant contraction from spasticity would cause muscles to be bigger.
hi can you please make a video on chorea after brain injury and if you can please explain I know its a very rare one but its something which is not mentioned thank you
I will do that. Thanks for the suggestion. It may be a few months out. I make them and then send them to a video editor and have several already lined up to go out.
Would spasticity ever increase over a long period of time? My stroke was almost two years ago. In recent months, my affected leg has significantly stiffened and continues to worsen. My rehab doc apparently hasn’t seen this and is continuing with Botox, which hasn’t helped much. It’s not so much velocity dependent as it is just stiff all the time.
It sometimes increases over time. But more commonly, it becomes more contracted over time. There is another video on this channel: Is it spasticity or contracture. It sounds like this could be the case with you. If the tendon is really shortened, orthopedic surgery may be beneficial. Also, sometimes people can develop an immunity to Botox and one of the different toxins may work better: Dysport or Xeomin.
Hello. i have a question. My boyfriend of months wouldnt answer me . My boyfriend has a foot that is inward and i sometimes notice that his finger slightly twitch when reaching out for something. He also mentioned that he had to wear leg braces as a kid , and that as a child he was in much pain. He wouldnt tell me more details . Do you think he moght have slight cerebral palsy?
THANK YOU SO MUCH !!! I've been looking for real life examples and I found your video. It helps me to have a better vision and understanding. Thank you !!
@@UtahNeuroRehabilitation I have seen 2 neurologists and 2 orthopedics.(I’m in Eastern Europe) all said they don’t see it. I calmed down. They say she does it by will. I kind of doubt that. Because like 70% of the day i feel resistance sometimes when she is very occupied I don’t feel it and when she sleeps.
The most important thing is how she is developing. If her motor skills are developing well, that is a good sign. Sometimes physiotherapists are better than doctors at picking up subtle differences in resistance or tone. If you are still concerned, an hour with a physiotherapist might help sort it out.
@@UtahNeuroRehabilitation just a little recap of the milestones. Back to stomach 4 months Stomach to back 4.5 months Push up position 4.5 months Army crawl only on bed for very little time 7.5 months Crawling all fours position with rocking (7-9 months) Trying to sit 8 months Crawls army everywhere on floor 8.5 months sits with a little support 9 months stands on knees. Sits by herself 9 months and crawls and sits. 9.5 months trying to stand. 10 months can stand up by herself by grabbing furniture. Things that are worry me a bit. Legs and arm resistance like I stated. When on hardwood she army crawls but with only using her right side while left leg and arm are stiff. But when on carpet army crawls on both sides. She never has crawled on knees and all 4s. She has always bridged out backwards tilting her head and still doing it. Light sleeper. Stands on toes and when I pick her up or she’s sitting I can see her legs and toes point in ward sometimes. She never learned patty cakes or clapping. Or waving. She instead clangs her hands up and down like clapping one over the other. She has stopped gaining weight or gaining very slowly since 8,9,10 difference from 7.9kg-8.3kg. And now 70cm. With everything I mentioned should I be worried and keep trying different professionals?? Ps this Channel is extremely informative. Love the content. And thank you for responses.
Spasticity,rigidity,dystonia..three types of hypertonia
Spasticity/resistance in one direction and is velocity dependant+hyperreflexia+may be clonus ,occur in /stroke,cerebral palsey,brain injury
Dystonia//there is abnormal posture and twisting repetitive movements sometimes tremor,occur in/head injury ,cerebral palsey or isolated problem
Rigidity//not velocity dependant occur in both directions even with slow movement ,can occur in Parkinson disease.
From video,thank u very informative
Thank you so much! I've been reviewing for my neuro clerkship which starts in January and the concepts of spasticity v. rigidity v. dystonia have always been hard to differentiate. This helped a lot!
Excellent videos that are enhanced by patient demonstrations! Thank you for doing this!
Thank you so much. This was very helpful. My mother has dementia, and year ago had a fall/ head injury, possibly mini stroke. I definitely see she has both dystonia and spasticity in her one arm/legs. This clarification in your video helps me to help her! I'm a bodyworker. Thank you.
Been watching a bunch of videos had no clue but this explains it so well and easily thank you
Wow with real examples it became more easy to understand thankyou pls do put visual examples in your future videos.👍
Thanks for the feedback.
Mine is generalized Dystonia 😢😢😢😢😢😢😢😢😢😢
Clonus is also with multiple sclerosis
Thanks for this! Been confused for quite some time now 😅
Thanks for the video and Michael is awesome.
I have spastic cp, it’s terrible but I workout my muscles, I weight train my upper body
Thanks, these differentiations are very poorly described in textbooks
Hi,what type of thing is this - muscles move,push,squeeze,pull,throbbe at the same time,starting with the injury site - back of head, and goes all over body,absolute inability to relax muscles,any massage or exercises make it worse,body twitch more. Trying to relax increases everything,feels like some force inside affecting constantly. Have to squeeze all muscles tightly constantly to get some relief for a second. Tensing them is better,no ability to relax at all,because symptoms intensify.
Have you seen a neurologist or physiatrist?
I found out the hard way that you can't outtrain a bad diet. As soon as I started following the Agoge diet, I have noticed great muscle growth.
the agoge diet looks really good and easy to follow, thanks for sharing!
What does another fad diet have to do with hypertonia caused by a disease. No diet can cure or treat a disease. Anyway, this isn't an exercise video.
Thanks! This is helpful
This is very helpful. For a mild hemiplegic CP toddler. What might you think of weak core, left arm held in slinglike position all day (not so rigid u cant move it). Then on same side hemiplegia leg is bent and other legs heel (opposite Hemiplegic leg) heel tapping repetitively on floor?
Hey, for 5 years i have been going through few second attacks that happen every time i move a part of my body. The current state of when my attacks occur is that when i move my arm or my leg suddenly or react to a door bell or try cross the road or stand up from sitting position quickly one side of my body gets stiff and goes in a crawling position. It has come to a point that my jaws also goes in a crawling position. I am a confident person but these attacks make me less sociable with people. Please help.
Dude go to a doctor, don't ask for help in a RUclips comment section...
Xenmas you don’t think i did that for the past 5 years? I been going around different countries meeting different doctors and neurologists
Hi I love your video. It is so informative ❤️
I have a question to you Maam. Hope you will notice me. I dont know what type of syndrome I have but everytime I contract my muscles it become resistive for a moment and I cant bend it back again so easily to normal position when I tried to force to because my muscle will retain in contraction state. But when I just ignore and dont use force. My muscles will turn to relax slowly. It is just a hindrance in my everyday movements especially when I play sports game. What treatment should I do?
I wonder if it is myotonia. Check out myotonia congenita.
Thank you❤️
Im paralised down my left side du to a brain injury will i ever get my sense of tuch in my hand ever again
A question: can you have both spasticity patterns AND dystonia? Thank you so much.
Absolutely
I have also illness that called dystonia twisting my neck and arm pain in my ignoe is there anyway to Cure dystonia
Do you treat/advise cervical myelopthy post surgery?
If I feel my muscle get tight and vibrate (kinda like when you are making push ups and your muscle vibrate) but only when doing flexion and extension movements does that would be rigidity?
That is an interesting question. I don't know. I would know if I felt it myself, but I don't know from what you are describing.
Mam my neck and throat feel tight. What could be reason?
Very well explained, thanks :)
Hi there I just came across this video as recently I was told I have autosomal recessive spastic ataxia after 30 years been told I had cp. Can you please inform me of any treatment to reduce the deterioration of my muscle tone? I would really appreciate that thank you.
On the Utah Neuro Rehabilitation RUclips channel we have several videos that can help. It is super helpful to keep stretching. A video called "Stretching legs with Rapunzel" shows some basic stretches. A couple more videos that might help are: Does exercise help after a brain injury?, Treating spasticity in cerebral palsy, Treating spasticity in stroke. A physical therapist could probably give you some specific suggestions.
Awe man, I think I have spasticity 😢
How about your head shakes when taking a photo? Or if you need to focus it into one direction?
My head shakes every time I need to take a photo for my ID and when I need to get checked to see my new prescription.
Not seeing it, I can be certain. But it might be a tremor.
Hi,
I was on diazepam for upper body tightness that happened after spinal disc herniation at base of spine and disc broke off and got into spinal canal requiring surgery.
After surgery big jolt in mid back and whole upper back went solid and head heavy etc.
Have been on diazepam since week after surgery in 2001.
Now in severe Benzodiazepine withdrawal and sensitised nervous system. Can’t take any meds or supplements.
All muscles in back, buttocks, neck, shoulders, face, legs, abs, sides are extremely hard and tight.
As get lower on dose again they get rigid.
Thos is constant even when lying down.
No position is bearable.
Back muscles so contracted forcing sound to arch up.
Lying on side hips and shoulders etc are so tight too painful etc.
If muscles don’t release at all in any position is that rigidity?
Any ideas what I can do?
Stretches, massage, osteopathy, myofascial release etc do not help.
ThankS
Sorry to hear this. There are several medications that might be helpful. Are you able to take any medications? Also, light aerobic exercise can sometimes help. Have you talked to a physician specializing in physical medicine and rehabilitation?
Utah Neuro Rehabilitation Thank you for replying.
Unfortunately I am now not able to take anything.
Neuro has tried baclofen, Tizanidine, Topirimate, Dantrolene.etc etc..
Even magnesium & Vit D etc cause severe reaction due to nervous system sensitisation.
Can’t do any exercises, can hardly stand up and lying down is more and more unbearable as taper lower but now paradoxical to Benzos.
Is there anyway to address the sensitisation?
i hope you were able to titrate off the benzodiazepene in a safer way. i heard of liquid micro taper; i heard slowly going off it can can years. a pharmacist or chemist should be able to teach how to use lab equipment to slowly taper. i haven't experienced this myself but i saw it in a documentary
Can you please make a video on Neurogenic Bladder in Cerebral Palsy?
That is an excellent idea. Yes, I will. It will take a few months before we will get it out. I need to write it and then film it and I have several videos lined up for the next 2 months. Thanks for the idea.
Utah Neuro Rehabilitation Thank you!!!
Cranial Osteopathy can really help to overcome upper motor neurone related problems.Very amazing video!!
Is there any way to get rid of spasticity caused by a brain injury? I want my life back!😢
There are many ways to manage spasticity. We can't really "cure" it, but we can make it better. Check out the spasticity play list on the Utah Neuro Rehabilitation RUclips channel.
Hello mam. My daughter is 30 months old she can't walk without support. In her mri report it was mentioned that she has delayed myelination andwhite matter signal abnormality in periventicular brain paranchyma. We we visited neurologist he said no need to worry about she Will recover soon. He also said that she has spastic legs and exaggerated knee reflux. that's why she has walking difficulty. He advised us to use baby walker and my daughter walks very well in walker she also stands up by pulling up objects. What do u suggest for my daughter. Doctor also gave us baclin tablets ceremin syrup and prosense syrup. Overall my daughter is active and healthy. I m so worried so plz tell me that can a child with spastic leg walks or it is not possible?
Often children with spastic legs can walk. It is very helpful to get physical therapy.
@@UtahNeuroRehabilitation thanks for reply
i love you thanks
Mam i hope you turn on the caption its hsrd for me to understand as non nwtice english speaker 😬
u r sooo nice
Can rigidity and spasticity be caused by chronic or extreme stress/anxiety? When I get stressed/anxious my fingers joints start to tighten in like a claw, (I can still fully extend but joints are sore),
The same as my toes and foot, mainly my right foot…like I can feel the rigidity in my toes, especially big toe knuckle and just behind the ball of my foot…
When my stress/ anxiety is alleviated, it goes away.
???
Stress and anxiety can cause tight muscles. Also, some people can get dystonia when they hyperventilate. But you need to have a neurologic disorder to have true spasticity or rigidity.
Great video! Thanks for sharing!
ACUPUNCTURE SHOULD BE A TREATMENT OPTION - GET WITH IT PEOPLE
Hi, love the videos, keep up the great work!
I'm really worried...suddenly since yesterday I have some kind of weird spasm every few seconds in the lower right side off my belly/back...when I stand or walk i don't feel it or notice...but when sit or lay down I get this constant spasm every 4-6 seconds...why is this ?? How can I cure it? I am really worried
Is spasticity always present If you have it? My muscles sometimes bounce back if I try to stretch. After holding my muscle in the same positsion for a long time. It is quite painful. When I stretch a bit this feeling goes away. As I understood this video spasticity should be always there.
Yes, if you have it, it is always there. You can reduce it for awhile through stretching.
Hypertonia is increase in muscle tone. Does muscle tone equal to muscle size? Does hypertonia muscle bigger ,smaller or just look normal?
Muscle tone does not mean bigger muscles. I have seen people with spasticity with big, small and medium sized muscles. Interestingly, I have seen people with severe spasticity with very small muscles. You would think that constant contraction from spasticity would cause muscles to be bigger.
hi can you please make a video on chorea after brain injury and if you can please explain I know its a very rare one but its something which is not mentioned thank you
I will do that. Thanks for the suggestion. It may be a few months out. I make them and then send them to a video editor and have several already lined up to go out.
Does spasticity and rigidity occur even if you don’t move the limb or only when you move the limb?
It is there all the time. You can detect it when you move the limb.
Would spasticity ever increase over a long period of time? My stroke was almost two years ago. In recent months, my affected leg has significantly stiffened and continues to worsen. My rehab doc apparently hasn’t seen this and is continuing with Botox, which hasn’t helped much. It’s not so much velocity dependent as it is just stiff all the time.
It sometimes increases over time. But more commonly, it becomes more contracted over time. There is another video on this channel: Is it spasticity or contracture. It sounds like this could be the case with you. If the tendon is really shortened, orthopedic surgery may be beneficial.
Also, sometimes people can develop an immunity to Botox and one of the different toxins may work better: Dysport or Xeomin.
Thanks, I watched the video. I have always had a tight left hamstring from a prior injury. I will discuss next week with the doctor.
Tha
Nk u amazing
Is it possible to have any of these without an injury to the brain that was not showed on an MRI
Yes, a lot can happen in the brain without it showing on MRI.
Hello. i have a question. My boyfriend of months wouldnt answer me . My boyfriend has a foot that is inward and i sometimes notice that his finger slightly twitch when reaching out for something. He also mentioned that he had to wear leg braces as a kid , and that as a child he was in much pain. He wouldnt tell me more details . Do you think he moght have slight cerebral palsy?
you really have to learn to mind your business !!!!!!!!
@@Raminaw1234 He really has to learn to stay single instead
Really this is a helpful video
Thanks a lot
Awesome video. Thank you
Could you please explain or advise what treatments could help?
You can see some treatments on the Utah Neuro Rehabilitation RUclips channel Spasticity play list:
ruclips.net/p/PLmhC4TEagnz3aBrhm5kooRXunWciIR3E6
How this be reduced
On the Utah Neuro Rehabilitation RUclips channel, there is a a spasticity play list. It talks about ways to reduce this.
Hello, exist tratament for distonia? Thanks
Depending on the type of dystonia, there are oral medicines, Botox or Dysport injections, baclofen pumps or deep brain stimulators.
Thanks ma'am
CBD oil has been known to help greatly.
Others have told me that too. thanks
Sometimes when holding up my phone my arms slowly drift down is this spasticity or hyper tonia
This is really hard to say without seeing you. It might be weakness. Do you have an underlying neurologic condition?
@@UtahNeuroRehabilitation no not that I know of
Thank you ma'am
Great Video! Thank you!
How can I contact you?
What about the pain when u move your arm will it ever go away had it for over a year
Check out another video on the Utah Neuro Rehabilitation channel: Treating Spasticity after Stroke
thank you mam
Thank you for this differentiation, Doc. It is very appreciated.
THANK YOU SO MUCH !!! I've been looking for real life examples and I found your video. It helps me to have a better vision and understanding. Thank you !!
Thanks 👌
Is it an inclusive or exclusive or? Thank you.
Can you explain your question. I do not understand. Thank you
Hey my 10 mo has increased resistance in the legs what should I do?
Can you see a doctor: neurology or physical medicine and rehabilitation, or a physical therapist to check it out?
@@UtahNeuroRehabilitation I have seen 2 neurologists and 2 orthopedics.(I’m in Eastern Europe) all said they don’t see it. I calmed down. They say she does it by will. I kind of doubt that. Because like 70% of the day i feel resistance sometimes when she is very occupied I don’t feel it and when she sleeps.
The most important thing is how she is developing. If her motor skills are developing well, that is a good sign. Sometimes physiotherapists are better than doctors at picking up subtle differences in resistance or tone. If you are still concerned, an hour with a physiotherapist might help sort it out.
@@UtahNeuroRehabilitation just a little recap of the milestones.
Back to stomach 4 months
Stomach to back 4.5 months
Push up position 4.5 months
Army crawl only on bed for very little time 7.5 months
Crawling all fours position with rocking (7-9 months)
Trying to sit 8 months
Crawls army everywhere on floor
8.5 months sits with a little support
9 months stands on knees.
Sits by herself 9 months and crawls and sits.
9.5 months trying to stand.
10 months can stand up by herself by
grabbing furniture.
Things that are worry me a bit.
Legs and arm resistance like I stated.
When on hardwood she army crawls but with only using her right side while left leg and arm are stiff. But when on carpet army crawls on both sides.
She never has crawled on knees and all 4s.
She has always bridged out backwards tilting her head and still doing it.
Light sleeper.
Stands on toes and when I pick her up or she’s sitting I can see her legs and toes point in ward sometimes.
She never learned patty cakes or clapping. Or waving. She instead clangs her hands up and down like clapping one over the other.
She has stopped gaining weight or gaining very slowly since 8,9,10 difference from 7.9kg-8.3kg. And now 70cm. With everything I mentioned should I be worried and keep trying different professionals??
Ps this Channel is extremely informative. Love the content. And thank you for responses.
A word of advise to grow your channel. Tik Toks algorithm is the best way atm.
Good explanation!!
Thanks
Amazing work! And helpful