Pathophysiology of spasticity following UMN lesions

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Пікірлер: 64

  • @asandiswashange8987
    @asandiswashange89874 жыл бұрын

    Thank you so so much!! especially for the last part. I literally searched the whole internet trying to figure out why patients will be in a flexed position. A life saver!!!!

  • @mukeshrawat975

    @mukeshrawat975

    4 жыл бұрын

    Me too

  • @fredrikkarlsson1021

    @fredrikkarlsson1021

    2 жыл бұрын

    Just a thought, why doesnt the same thing occur with rigidity? Is the agonist and antagonist affected unequally then?

  • @chenyithern5361
    @chenyithern53614 жыл бұрын

    Thank you so much for the explanation. Studied for 4 years in med school and now only I can fully understand the pathophysiology of spasticity in UMN lesions

  • @TherapeuticTactics
    @TherapeuticTactics4 жыл бұрын

    Took the brakes off my learning curve, thanks, man.

  • @muddy5420
    @muddy54202 ай бұрын

    Amazing explanation ❤❤❤

  • @DeezNuts-jh1hh
    @DeezNuts-jh1hh3 жыл бұрын

    Never made sense to me until now, thanks so much!

  • @estherssebbowa3043
    @estherssebbowa30433 жыл бұрын

    You cannot explain this any better - it is perfect - clearly the Gold standard - Thank You sir -

  • @user-tw7lc1hz9i

    @user-tw7lc1hz9i

    2 жыл бұрын

    gold standard indeed

  • @Chunkymonkey35
    @Chunkymonkey354 жыл бұрын

    Thank you so much! My course lectures didn't explain it as well as you did, and also giving the explanation of the clinical presentation really helped!

  • @VeziMonalisa
    @VeziMonalisa3 жыл бұрын

    Thank you so much Prof ... you made things super easy

  • @sukhikaur4353
    @sukhikaur43535 жыл бұрын

    Great Explaination. Thank You !!!!

  • @eduardoviniccius
    @eduardoviniccius6 жыл бұрын

    Wow, really good. Saudations from Brazil!

  • @GernotWinklerMD
    @GernotWinklerMD5 жыл бұрын

    Excellent lecture. Perfectly explained.

  • @chewiebenny6643
    @chewiebenny66433 жыл бұрын

    freaking brilliant presentation.

  • @kyleolandt1064
    @kyleolandt10646 жыл бұрын

    Great video, well done.

  • @marella3
    @marella36 жыл бұрын

    Help me a lot! Thank you!!!

  • @marcosalamanca8742
    @marcosalamanca87424 жыл бұрын

    Heard some "M'kay" here and there, which remind me of Mr. Mackey from South Park :) Jokes apart, wonderful explanation. You really have the gift of teaching!

  • @user-hs3ys2bo7c
    @user-hs3ys2bo7c Жыл бұрын

    Well Done! So clear explaination!

  • @angelaporter2297
    @angelaporter2297 Жыл бұрын

    Thank you, this was really clear! :)

  • @vishnudev01
    @vishnudev015 жыл бұрын

    Great explanation ✌🏼

  • @maryamg9485
    @maryamg9485 Жыл бұрын

    Awesomely explained!!!!

  • @zahrabouzo1037
    @zahrabouzo10377 ай бұрын

    Thaaaanks..easy and informative.

  • @carolinetrotter5897
    @carolinetrotter58975 жыл бұрын

    Thanku 😊clearly explained

  • @MA-193
    @MA-1935 жыл бұрын

    Thank you! ☺️

  • @biglongcancer475
    @biglongcancer47510 ай бұрын

    Learn a lot. Thank you!

  • @mawaddashaban477
    @mawaddashaban4774 жыл бұрын

    Thank you so much 🌻

  • @hbach5985
    @hbach5985 Жыл бұрын

    awesome! thank you

  • @krishnabhiram
    @krishnabhiram4 жыл бұрын

    Role of gamma motor neurone in development of spasticity is not explained in this video. Other wise the video has good information for students. Thanks for your contribution.

  • @lardigmer
    @lardigmer3 жыл бұрын

    THANK YOU!

  • @hansfranz7347
    @hansfranz73475 жыл бұрын

    thanks a lot Sir!!

  • @muhammedanjum-qi3wt
    @muhammedanjum-qi3wt7 ай бұрын

    Legend

  • @hh-zq9io
    @hh-zq9io5 жыл бұрын

    Thank you

  • @zuneid375
    @zuneid3753 жыл бұрын

    Great vid

  • @SuperXueyin
    @SuperXueyin3 жыл бұрын

    thank you!

  • @handy4758
    @handy4758 Жыл бұрын

    Thank you so much sir this is really helpful

  • @steffenbader2726
    @steffenbader27267 ай бұрын

    There are some debate on wether spasticity is "just" the change of balance between inhibitory and exitatory stimulus. It doesn't really explain the different types og hypertonia - rigidity or spasticity. Why is it, that rigidity does not show increased reflexactivty

  • @rosnavarughese
    @rosnavarughese4 жыл бұрын

    Thank you so much sir.

  • @balys2168
    @balys21682 жыл бұрын

    Thank you for this, but could you explain why streaching the spastic muscle, relaxest both flexors and extensors? im just a student, ive never worked with a spastic pacient, but im very interested!

  • @alexzaragoza1388
    @alexzaragoza13882 жыл бұрын

    Thank you sir!!

  • @21diaz
    @21diaz4 жыл бұрын

    Would you know why touch helps calm spasticity? Like when touching the fingers with the other hand, the fingers are easier to open

  • @TanTan-ch3vq
    @TanTan-ch3vq Жыл бұрын

    Best explanation

  • @orockclintonachale3592
    @orockclintonachale35924 жыл бұрын

    Thanks a lot Sir

  • @jonathanmera3084
    @jonathanmera30843 жыл бұрын

    Hi Steve, do you know if there is a cure to hypertonia, or at least an effective treatment?

  • @lestdwz
    @lestdwz2 жыл бұрын

    Thanks a lot 👍✅

  • @disleyce
    @disleyce2 жыл бұрын

    Thank you , i fully understood your explanations on why this occurs bI'm a stroke survivor who likes answer but can i re wire this within my brain i can move my arm and get it to relax until i move or stand up then bends into the poistin within your picture :

  • @user-qu2ed1bg2e
    @user-qu2ed1bg2e3 ай бұрын

    Thanks

  • @melissaamorimmartins8204
    @melissaamorimmartins82044 жыл бұрын

    Very good video

  • @ldjt6184
    @ldjt61842 жыл бұрын

    Can the damage heal either on it's own or with some help?

  • @narasimha7870
    @narasimha78702 жыл бұрын

    Sir please make one video on spasticity vs rigidity and also types of rigidity,,,clasp knife ,lead pipe,cog wheel with their mechanisms???

  • @cegkeg79
    @cegkeg795 жыл бұрын

    so that's why my left hand can't relax at times (I have cp)

  • @riteshchaurasia8016
    @riteshchaurasia80164 жыл бұрын

    Sir do u mean Lower motor neuron is relatively controlled by inhibitory neurons than excitatory..so removal of inhibitory causes excitation..!?plz explain..

  • @diwangikariyawasam
    @diwangikariyawasam3 жыл бұрын

    ❤️

  • @telepcanin2878
    @telepcanin28787 жыл бұрын

    Great. Why does the spasticity ''loose up'' at the end of motion in contrast to rigidity?

  • @stevejj14

    @stevejj14

    7 жыл бұрын

    Are you referring to 'clasp knife' rigidity, where resistance suddenly 'gives' when enough force is applied? This is caused by Golgi tendon organs, which detect high levels of tension in tendons. They are part of a protective reflex (ever involuntarily dropped a weight that is too heavy for you?). Golgis are connected to inhibitory interneurones in the cord which inhibit motor neurones and cause the give. Hope that helps

  • @nourabdullah1644
    @nourabdullah16445 жыл бұрын

    CST is excitatory?

  • @che-lunhu9074

    @che-lunhu9074

    5 жыл бұрын

    I think CST neurons stimulate the inhibitory interneuron that connects to the alpha motor neuron (in blue).... Thereby inhibiting/controlling muscle contraction.

  • @acingmedicine

    @acingmedicine

    4 жыл бұрын

    @@che-lunhu9074 Corticospinal tract is the descending excitatory tract to the alpha motor neurons to initiate voluntary movement

  • @mohamedorayith4626
    @mohamedorayith46263 жыл бұрын

    What part of the brain must be damaged for this to occur?? plz reply

  • @stevejj14

    @stevejj14

    3 жыл бұрын

    Hello. This is caused by damage to upper motor neurones that send their axons down to the spinal cord

  • @sarah-janemelnychuk541
    @sarah-janemelnychuk541 Жыл бұрын

    How neuron is pronounced is bugging me. I never heard it pronounced quite like that before.

  • @user-sm6fj3jb8x
    @user-sm6fj3jb8x6 ай бұрын

    Ventral horn is bigger than dorsal horn correct your drawing

  • @kfkf1922
    @kfkf19222 жыл бұрын

    in the UE the flexors are stronger and win out over the extensors. this isn’t very scientific. how would you then explain decerebrate? really need to back up your thoughts with some science references, otherwise this really is just conjecture.

  • @user-qu2ed1bg2e
    @user-qu2ed1bg2e6 ай бұрын

    Thank you