Reducing Tone After a Stroke: Effective Therapies and Strategies

Reducing Tone After a Stroke: Effective Therapies and Strategies

Tone, also known as spasticity, is a common issue that can develop after a stroke. It’s caused by abnormal electrical activity in the brain and can result in tight, stiff muscles that can limit movement and make daily tasks difficult. However, with proper rehabilitation, tone can be reduced, and the individual can regain their mobility and independence. Repetition is a crucial aspect of reducing tone after a stroke.

Physical Therapy

Physical therapy is a key component of reducing tone after a stroke. A physical therapist will work with the stroke survivor to develop a tailored exercise program that can help improve strength, flexibility, and range of motion. The therapist may also use techniques such as soft tissue mobilization, joint mobilization, and stretching to help reduce tone in affected muscles.

Occupational Therapy

Occupational therapy can also play a significant role in reducing tone after a stroke. An occupational therapist will focus on daily living activities such as dressing, grooming, and eating, and will work with the individual to help them perform these activities more effectively. Repetition of these activities can help reduce tone, as it promotes neuroplasticity and improved muscle function.

Stretching

Stretching can also be beneficial in reducing tone after a stroke. Stretching the muscles can help improve flexibility and reduce stiffness. However, it’s important to work with a physical therapist to ensure that stretching exercises are performed properly and safely. Repetition of these exercises can help improve muscle function and flexibility over time.

Pharmacological Interventions

In some cases, pharmacological interventions may be recommended by a physician to help reduce tone after a stroke. These may include medications such as baclofen, dantrolene, or tizanidine, which can help relax overactive muscles and reduce spasticity. However, it’s important to work closely with a physician and only use these medications under their supervision.

Botulinum Toxin Injections

Botulinum toxin injections, also known as Botox, can be an effective option for reducing tone after a stroke. These injections work by temporarily relaxing overactive muscles, leading to improved function and reduced pain. It’s important to note that this treatment will need to be repeated regularly, as the effects of the injections will wear off over time.

Orthotic Devices

Orthotic devices, such as braces or splints, can also help reduce tone after a stroke. These devices can help improve posture, reduce muscle strain, and provide support during activities of daily living. It’s important to work with an orthotist to ensure proper fit and use of the device.

Surgery

In severe cases, surgery may be recommended to help reduce tone after a stroke. The type of surgery will depend on the location and severity of the spasticity, as well as the overall health of the individual. Some common surgical options include selective dorsal rhizotomy, peripheral nerve blocks, and intrathecal baclofen pump placement.

Sources:
  • National Stroke Association. (n.d.). Physical therapy after stroke. Retrieved from https://www.stroke.org/en/caregiver-support/caregiver-resources/caregiving-101/physical-therapy-after-stroke
  • American Stroke Association. (n.d.). Occupational therapy after stroke. Retrieved from https://www.stroke.org/en/caregiver-support/caregiver-resources/caregiving-101/occupational-therapy-after-stroke
  • National Institute of Neurological Disorders and Stroke. (n.d.). Stroke rehabilitation: Hope through recovery. Retrieved from https://www.ninds.nih.gov/disorders/patient-caregiver-education/stroke-rehabilitation-hope-through-recovery
  • National Institute of Neurological Disorders and Stroke. (2021, November 16). Stroke Rehabilitation. Retrieved from https://www.ninds.nih.gov/disorders/patient-caregiver-education/stroke-rehabilitation
  • American Stroke Association. (2021, June 17). Spasticity After Stroke. Retrieved from https://www.stroke.org/en/caregivers/caring-at-home/spasticity-after-stroke
  • Mayo Clinic. (2022, February 18). Stroke Rehabilitation. Retrieved from https://www.mayoclinic.org/diseases-conditions/stroke/diagnosis-treatment/drc-20353091