Table I.
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.