Hypertonia

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Clinic

  • Hypertonia is a condition in which there is too much muscle tone so that arms or legs, for example, are stiff and difficult to move.  
  • Muscle tone is regulated by signals that travel from the brain to the nerves and tell the muscle to contract. Hypertonia happens when the regions of the brain or spinal cord that control these signals are damaged.  


Causation

  • Head trauma
  • Stroke
  • Brain tumors
  • Brain Toxins
  • Neurodegenerative processes such as in MS or PD
  • Neurodevelopmental abnormalities such as CP

Subtypes

  • Spasticity is a term that is often used interchangeably with hypertonia.  
  • Spasticity, however, is a particular type of hypertonia in which the muscles' spasms are increased by movement.  In this type, patients usually have exaggerated reflex responses.
  • Rigidity is another type of hypertonia in which the muscles have the same amount of stiffness independent of the degree of movement.  
  • Rigidity  usually occurs in diseases such as PD that involve the basal ganglia
  • To distinguish these types of hypertonia, a doctor will as the patient to relax and then will move the arm or leg at different speeds and in a variety of directions.