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. 2021 Oct 5;54:63. doi: 10.2340/16501977-2877

Table I.

Definitions of disabling spasticity and location used in the current paper

Disabling spasticity
Term Definition
Disabling spasticity Spasticity which is perceived by the individual or caregivers as hindering body function, activities, and/or participation.
This definition is based on clinical expertise and conceptually incorporates the domains of the International Classification of Functioning, Disability and Health (ICF).
Disabling spasticity location
Term Definition
Focal spasticity Spasticity limited to muscles in a close anatomical region, including only 1 or 2 joints (excluding finger and toe joints, e.g. hand and forearm or foot and ankle) (19).
Segmental spasticity Spasticity limited to several adjacent anatomical regions (e.g. hand, forearm, elbow and/or shoulder) (19).
Multi-segmental spasticity Spasticity distributed to anatomically separate and distant sites and affecting at least 2 limbs, including the trunk (e.g. arm and leg, leg and trunk, or arm and trunk) (19).
Generalized spasticity Spasticity diffused in more than 2 limbs.
Multi-focal spasticity* Spasticity affecting multiple joints that are not adjacent (e.g. ankle and hip or wrist and shoulder).
*

This definition was proposed by the advisory board.