Neurologic Injury and Spasticity

  • Neil R. HollandEmail author


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.


Upper motor neuron Pyramidal pathway Spasticity Rhizotomy Intrathecal baclofen 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.NeurologyGeisinger Health SystemDanvilleUSA
  2. 2.Medicine (Neurology)Commonwealth Medical CollegeScantonUSA

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