Muscle Overactivity in the Upper Motor Neuron Syndrome: Conceptualizing a Treatment Plan and Establishing Meaningful Goals

Phys Med Rehabil Clin N Am. 2018 Aug;29(3):483-500. doi: 10.1016/j.pmr.2018.03.004. Epub 2018 Jun 1.


Spasticity is a major physical complication of many neurologic and traumatic conditions of the brain and spine and can lead to muscle contracture, joint stiffness, reduced range of movement, skin breakdown, and pain. The management of spasticity includes a range of pharmacologic and nonpharmacologic interventions, often used in combination to optimize outcomes. However, it is important to identify and prioritize the patient's and clinician's goals, in order to create common attainable goals. These goals should be reviewed and revised at regular intervals.

Keywords: Goal setting; Muscle overactivity; Spasticity; Treatment goals.

Publication types

  • Review

MeSH terms

  • Disease Management
  • Goals
  • Humans
  • Motor Neuron Disease / complications*
  • Motor Neuron Disease / physiopathology
  • Motor Neuron Disease / therapy*
  • Muscle Spasticity / complications*
  • Muscle Spasticity / physiopathology
  • Muscle Spasticity / therapy*