Spasticity after stroke: Physiology, assessment and treatment

So with no treatments for spasticity those 3 million survivors every year that get it are screwed. My spasticity has not lessened one bit in 16 years.

But there is no need to treat spaticity, Dr. William M. Landau says so in his uninformed expert opinion.  Survivors would immediately disabuse him of that notion.

His statement from here:

Spasticity After Stroke: Why Bother? Aug. 2004

Wonder if he will be singing the same tune after he becomes the 1 in 4 per WHO that has a stroke, will he be satisfied with not getting recovered due to his spasticity?

The latest here:

Spasticity after stroke: Physiology, assessment and treatment

 Aurore Thibaut 1, 

Camille Chatelle 1, 

Erik Ziegler 2, 

Marie-Aure´lie Bruno 1, 

Steven Laureys 1, & 

Olivia Gosseries 1
1 Coma Science Group, Cyclotron Research Centre, University and University Hospital of Lie`ge, Lie`ge, Belgium and
 2 Cyclotron Research Centre,University of Lie`ge, Lie`ge, Belgium

Abstract

Background: 

 

Spasticity following a stroke occurs in about 30% of patients. The mechanisms underlying this disorder, however, are not well understood.
Method: 

 

This review aims to define spasticity, describe hypotheses explaining its development after a stroke, give an overview of related neuroimaging studies as well as a description of the most common scales used to quantify the degree of spasticity and finally explore which treatments are currently being used to treat this disorder.
 

Results:  

 

The lack of consensus is highlighted on the basis of spasticity and the associated absence of guidelines for treatment, use of drugs and rehabilitation programmes.
 

Conclusions: 

 

Future studies require controlled protocols to determine the efficiency of pharmacological and non-pharmacological treatments for spasticity. Neuroimaging may help predict the occurrence of spasticity and could provide insight into its neurological basis.