Spasticity

1. Front Matter

   Pages I-XIV

   PDF

2. Spasticity: History, Definitions, and Usage of the Term

   1. Spasticity: History, Definitions, and Usage of the Term

      • A. F. Thilmann

      Pages 1-5

3. Descending Control of Movement

   1. Front Matter

      Pages 7-7

      PDF

   2. Organisation of Cortico-motoneuronal Projections from the Primary Motor Cortex: Evidence for Task-Related Function in Monkey and in Man

      • A. Turton, C. Fraser, D. Flament, W. Werner, K. M. B. Bennett, R. N. Lemon

      Pages 8-24

   3. Investigation of Descending Motor Pathways in Man

      • J. C. Rothwell, T. C. Britton, P. Brown, B. L. Day, J. Fong, P. D. Thompson et al.

      Pages 25-39

   4. Propriospinal Transmission of Voluntary Movement in Humans

      • E. Pierrot-Deseilligny, D. Mazevet

      Pages 40-56

   5. The Site of Activation of the Corticospinal System by Transcranial Magnetic and Electrical Stimulation of the Human Motor Cortex

      • D. J. Burke, R. Hicks, J. Stephen, I. Woodforth, M. Crawford

      Pages 57-66

   6. Plasticity of the Human Motor Cortex

      • M. Hallett, L. G. Cohen, A. Pascual-Leone, J. Brasil-Neto, E. M. Wassermann, A. N. Cammarota

      Pages 67-81

   7. Discussion Summary

      • E. Jankowska

      Pages 82-83

   8. Discussion Summary

      • J. Noth

      Pages 84-86

4. Disturbance of Voluntary Movement

   1. Front Matter

      Pages 87-87

      PDF

   2. The Role of the Corticospinal Tract in Spasticity Studied by Magnetic Brain Stimulation

      • R. Benecke

      Pages 89-100

   3. Do Rapidly Conducting Ipsilateral Corticospinal Pathways Contribute to Recovery in Adult Hemiplegia?

      • P. Ashby, E. Palmer, V. E. Hajek

      Pages 101-110

   4. Strength Changes in Hemiparesis: Measurements and Mechanisms

      • S. C. Gandevia

      Pages 111-122

   5. Factors Underlying Abnormal Posture and Movement in Spastic Hemiparesis

      • J. P. A. Dewald, W. Z. Rymer

      Pages 123-138

   6. Disturbances of Voluntary Arm Movement in Human Spasticity: The Relative Importance of Paresis and Muscle Hypertonia

      • S. J. Fellows, C. Kaus, H. F. Ross, A. F. Thilmann

      Pages 139-149

   7. Spastic Movement Disorder: Similarities and Differences in Children and Adults

      • W. Berger, V. Dietz

      Pages 150-154

   8. Hyper-reflexia and Disordered Voluntary Movement

      • G. L. Gottlieb, B. M. Myklebust

      Pages 155-166

   9. Discussion Summary

      • M. Hallett

      Pages 167-169

   10. Discussion Summary

       • J. Eyre, S. Miller

       Pages 170-173

Over the past 10-20 years there has been an explosion of work on the disturbance of motor control that is manifested as "spasticity." This work has been based on new insights from animal experiments into the basis of normal motor control and the development of experimental techniques that could be used in patients with neurological disturbances. For this reason, on the initiative of Alfred Thilmann, the editors of this volume organized a workshop on spasticity, held in Essen, Germany, in November, 1992. The intention of the meeting was to bring together leading scientists in an atmosphere that would generate discussion and hopefully consensus and ideas for future work. The attendance was restricted and deliberately selective, with a mix of basic scientists, clinical scientists and practicing clinicians. The product of their presentations and deliberations is this volume. The book is organized in the same sequence as the workshop, so that the discussion sessions could be summarized by the appropriate chairman.

• Neurology/Clinical Neurophysiology
• Physiotherapy/Physical Therapy
• brain
• clonidine
• cortex
• muscle
• neurology
• neurophysiology
• patients
• physiology
• physiotherapy
• rehabilitation
• spinal cord
• spinal mechanisms

• Neurologische Klinik mit klinischer Neurophysiologie, Alfried-Krupp-Krankenhaus, Essen, Germany

  A. F. Thilmann

• Department of Neurology, The Prince Henry and Prince of Wales Hospitals and the Prince of Wales Medical Research Institute, Randwick, Sydney, Australia

  David James Burke

• Rehabilitation Institute of Chicago, Chicago, USA

  William Zev Rymer

Policies and ethics