Spasticity management services at Ohio State’s Wexner Medical Center provides comprehensive care for people with spasticity and various dystonias

Spasticity refers to stiff or tight muscles with exaggerated reflexes. This condition can make it difficult to move, walk or speak. Spasticity is common among people with diseases of the nervous system or those who have suffered damage to the part of the brain that controls voluntary movement.

Our Patients

We provide comprehensive care and rehabilitation for patients with:

  • Brain injury
  • Cerebral palsy (chronic condition affecting body movement and muscle coordination)
  • Dystonia
  • Hereditary spastic paraparesis (progressive weakness and stiffness of the legs)
  • Multiple sclerosis
  • Spinal cord injury
  • Stroke

Why choose The Ohio State University Wexner Medical Center?

Ohio State’s rehabilitative care can help relieve spasticity and related symptoms including pain, impaired mobility, disrupted sleep and more. Here’s why people choose Ohio State for care related to spasticity:

Personalized Care: You will receive a personal evaluation that helps create an individualized care plan to meet your needs and lead you toward your health goals. We will help you learn the skills and techniques you need to improve your abilities at work, home and social settings.

Unique Services: Ohio State is a leader in the use of the Baclofen pump, an aid for decreasing spasticity. The pump is a programmable device that delivers medication directly to a targeted site in the spinal cord. In addition, our program has a 10-year history of proven results using botulinum toxin (Botox®) and other injection therapies, which relax muscles and reduce excessive muscle contractions. We also use electromyography (a test of the electrical activity of muscles) and neurostimulator control (mild electrical signals) to guide our injections. Our physical, occupational and speech therapists have extensive experience in the practical application of rehabilitation techniques and interventions for people with spasticity

Accredited Programs: We are proud that our Inpatient Rehabilitation Programs at Dodd Hall and our Outpatient Medical Rehabilitation Programs are accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). CARF recognizes our programs as meeting the highest standards in quality, safety and outcome measures, which provide risk-reduction and accountability in our patient care.

Nation’s Best: Ohio State’s rehabilitation program consistently ranks among the best in the nation. As an academic medical center, Ohio State offers comprehensive medical expertise, the most advanced technologies and treatment techniques, and innovative care backed by research knowledge.

Our Services

Our Services

The Spasticity Management Program offers rehabilitation services to help in each phase of your rehabilitation — from services offered in the hospital (inpatient services) to those offered after returning home (outpatient services). These services help you achieve your highest level of recovery.

Following your physician's referral, our services may include:

  • Medical evaluation
  • Therapy assessment
  • Physical therapy to help patients improve strength, mobility and fitness
  • Occupational therapy to help patients participate in activities of daily living
  • Oral medicines to help with muscle spasticity - Baclofen (Lioresal®), Dantrolene (Dantrium®), Diazepam (Valium®), Tizanidine (Zanaflex®)
  • Baclofen pump therapy
  • Injections of Botulinum (Botox®) toxin A or other neurotoxins
  • Surgery
  • Exercise programs, including aerobic and strength-building
  • Evaluation of splints, casts, braces or other assistive devices to relieve muscle and tendon tightness and modify the influence of various nerve-muscle pathways that contributes to spasticity
  • Evaluation of problems with speech or swallowing as influenced by spasticity, and application of techniques to ease or manage the difficulty

Treatment Team

Your Treatment Team

Your team features the combined experience and expertise of multiple specialists:

  • Physical medicine and rehabilitation physicians or physiatrists who specialize in helping people regain body functions lost due to medical conditions or injuries
  • Neurologists who specialize in disorders of the nervous system
  • Neurosurgeons who specialize in surgery on the brain and other parts of the nervous system
  • Anesthesiologists who specialize in administering medication for pain relief
  • Orthopaedists who specialize in disorders of the skeleton and muscles
  • Physical therapists who specialize in helping patients achieve maximum strength, balance and mobility
  • Occupational therapists who specialize in improving patients' ability to complete activities of daily living
  • Speech-language pathologists who specialize in helping patients improve communication, cognition and swallowing

Our Providers

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