Historical Progression of Spasticity Hypotheses
The understanding of spasticity and the upper motor neuron lesion it is based on has progressed considerably in recent decades. However, the term "spasticity" is still often used interchangeably with "Upper Motor Neuron Syndrome" in the clinical settings, and it is not unusual to see patients labeled as "spastic" who actually demonstrate not just spasticity alone, but also an array of upper motor neuron findings
Research has clearly shown that exercise is beneficial for spastic muscles, even though in the very early days of research it was assumed that strength exercise would increase spasticity. Also, from at least the 1950s through at least the 1980s, there was a strong focus on other interventions for spastic muscles, particularly stretching and splinting, but the evidence does not support these as effective. While splinting is not considered effective for decreasing spasticity, a range of different orthotics are effectively used for preventing muscle contractures on patients with spasticity. In the case of spastic diplegia there is also a permanent neurosurgical treatment for spasticity, selective dorsal rhizotomy, that directly targets nerves in the spine that cause the spasticity, and destroys them, so that the spasticity cannot be activated at all.
Read more about this topic: Spasticity
Famous quotes containing the words historical, progression and/or hypotheses:
“Some minds are as little logical or argumentative as nature; they can offer no reason or “guess,” but they exhibit the solemn and incontrovertible fact. If a historical question arises, they cause the tombs to be opened. Their silent and practical logic convinces the reason and the understanding at the same time. Of such sort is always the only pertinent question and the only satisfactory reply.”
—Henry David Thoreau (1817–1862)
“Measured by any standard known to science—by horse-power, calories, volts, mass in any shape,—the tension and vibration and volume and so-called progression of society were full a thousand times greater in 1900 than in 1800;Mthe force had doubled ten times over, and the speed, when measured by electrical standards as in telegraphy, approached infinity, and had annihilated both space and time. No law of material movement applied to it.”
—Henry Brooks Adams (1838–1918)
“But don’t despise error. When touched by genius, when led by chance, the most superior truth can come into being from even the most foolish error. The important inventions which have been brought about in every realm of science from false hypotheses number in the hundreds, indeed in the thousands.”
—Stefan Zweig (18811942)