Neurologic Injury and Spasticity
Upper motor neuron injuries are more complicated than peripheral nerve injuries, and simply restoring power without addressing spinal reflexes and spasticity may not be sufficient to improve function. Multichannel dynamic EMG recordings can be critical in planning these procedures. In some cases, surgical functional restoration may include neurectomy followed by neurotization and/or tendon transfer – i.e., converting the upper motor neuron lesion into a simpler lower motor neuron lesion then fixing it.
KeywordsUpper motor neuron Pyramidal pathway Spasticity Rhizotomy Intrathecal baclofen
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