Stroke Training and Awareness Resources (STARs)


Spasticity management

Alan’s spasticity management goals are to:

  • Improve his hand hygiene
  • Improve his body image
  • Increase the functional use of his arm

The main aim is to optimise the outcome of his upper limb rehabilitation

A botulism syringe

As part of his spasticity management Alan attends a spasticity management clinic for assessment and treatment options. As as result of this assessment he has had Botulinum Toxin injections into his wrist and finger flexors. In order to maximise the benefit of this he now needs to follow an appropriate management plan including:

  • Stretches (to maintain and increase muscle and soft tissue length)
  • Splinting (to provide a good position and optimise the muscle and soft tissue length)
  • Exercises (to facilitate activity and strength in the opposing muscle groups)
  • Patient education (of stretches, exercises, splint application and to encourage long term self management)
  • Upper limb functional tasks (to encourage self practice and overall upper limb function and activity)

For a description of what a spasticity clinic is see additional information.

Link: Spasticity in adults: management using botulinum toxin National guidelines (2nd edition).RCP March 2018 (PDF).

Page last reviewed: 22 Apr 2021