Don’t Ignore Muscle Stiffness After a Stroke—Remember to REACT
An estimated 62,000 Canadians will suffer a stroke this year.1 It’s the third leading cause of death and the leading cause of adult disability in Canada.2
Stroke happens when blood stops flowing to part of the brain because a blood vessel ruptures or become blocked. Some brain cells are deprived of oxygen and nutrients and die, which can result in brain damage.
While strokes can be fatal, over 80% of those who experience a stroke survive.3 This means that many people are living with the effects of stroke and may need support to recover.
At least 30% of stroke survivors will develop a condition called post-stroke spasticity (PSS).4,5
PSS occurs when muscles become overactive, causing them to contract or become tense when they shouldn’t. It can affect one’s balance, co-ordination and movement.
Symptoms of PSS may be mild to start but can often worsen over time, which is why early diagnosis, intervention and treatment is crucial. Early symptoms include:
- Painful muscle spasms
- Stiffness in arms, hands, legs and ankles
- Limited mobility
- Limb weakness
- Clenched fist
- Bent elbow
- Curled toes
- Pointed foot
Increasing spasticity can result in long-term disability.
If left untreated, spasticity can lead to abnormal limb posture, soft tissue shortening and shortening of the muscles and tendons, which can ultimately lead to joint contractures — joints being stuck in abnormal, possibly painful, positions.4,6
PSS can have physical and emotional impacts, such as pain, pressure sores, risk of falls and fractures, and depression. It can affect quality of life and make getting dressed, bathing, eating and mobility difficult.7,8
Recognize the signs of stroke FAST.
For the best chance of a good recovery from stroke, the Heart and Stroke Foundation of Canada recommends that we learn the signs of stroke and act FAST. If the face, arms or speech is affected, call 9-1-1 right away.
Face → Is it drooping?
Arms → Can you raise both?
Speech → Is it slurred or jumbled?
Time → Time to call 9-1-1 immediately.
After a stroke, remember the acronym REACT to identify spasticity.
While there’s no cure for PSS, the sooner that the patient is assessed and optimal treatment is provided, the better the potential outcome.4,5
Physiotherapy and rehabilitation are two effective methods for managing spasticity. They can improve movement in the affected muscles and help promote recovery for increased mobility. Other treatment options include chemodenervation, skeletal muscle relaxants, electrical stimulations, braces and surgery.
Find resources and support for those living with PSS.
Learn more about stroke and PSS at Heart and Stroke Foundation of Canada. For support, look to the March of Dimes Canada After Stroke Program, a personalized recovery program that helps survivors and their families move forward after a stroke.
Watch this Facebook Live discussion about post-stroke spasticity featuring Dr. Theodore Wein, neurologist at Montreal General Hospital and associate professor of neurology and neurosurgery at McGill University.
This article is sponsored by AbbVie Canada.