The Concept of Guided Self-Rehabilitation Contracts in the Treatment of Deforming Spastic Paresis

Abstract

Conventional community-based therapy is quantitatively insufficient in most health systems and thus lacks meaningful functional efficacy in chronic deforming spastic paresis. In the past decades, medicine, constraint-induced or robot-assisted therapies have not emphasized treatment of the muscle disorder inherent to the syndrome of deforming spastic paresis. [1,2] To address both the muscle disorder (“spastic myopathy”, part of the soft tissue contracture) and the neural disorder (stretch-sensitive paresis in agonists and spastic cocontraction in antagonists) two basic techniques may be involved in proportions that will depend on the respective coefficients of shortening and of weakness around each joint.