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800-UAB-MIST - 24-hour hotline for physicians to consult with a UAB specialist.


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The UAB-TBIMS provides this website as an auxiliary resource for primary care of patients with TBI.The contents of this website were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90DPTB0029). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.
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Spasticity is a motor disorder defined as velocity dependent, increased resistance to passive muscle stretch. It is an exaggeration of the stretch reflex due to hyperexcitability of spinal reflexes.

 Recent/Sudden onset of spasticity or increased intensity may be due to underlying contributing factors. Thus, treat as indicated.

Treatment of chronic spasticity is sometimes neither needed nor desired by patients with spinal cord injury due to the potential health and functional advantages spasticity offers. In contrast, consequences of untreated spasticity may indicate need for evaluation using Ashworth Scale / Modified Ashworth Scale and subsequent treatment.

Common oral agents present the least invasive intervention and may be effective alone or in combination with mltidisciplinary aproaches.
  • Baclofen
  • Tizanidine
  • Bezodiazepines
  • Dantrolene

Referral for additional intervention methods may be appropriate to enhance treatment outcome

Expectation for treatment outcome is management (maximum reduction) of chronic spasticity. Elimination is rare.

800-UAB-MIST - 24-hour hotline for physicians to consult with a UAB specialist.


MD Learning Channel
Ask a Question
Feedback & Comments
PCPs & ADA Compliance


The UAB-TBIMS provides this website as an auxiliary resource for primary care of patients with TBI.The contents of this website were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90DPTB0029). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.
NIDILRR