Adolescents & Adults with Developmental Disabilities
This 2.5 hour workshop will present a paradigm shift for the evaluation and treatment selection of spasticity in pediatrics. Using the validated and reliable Pain Mechanism Classification System (PMCS) principles applied to spasticity, we will present spasticity as a peripheral nervous system dominated mechanism, thus allowing 2 peripheral neurogenic mechanisms to be highlighted. Directional preference and neurodynamic exercise selection for peripheral neurogenic mechanisms can have lasting effects when selected and dosed correctly. Spasticity can be an expression of a peripheral nervous system irritation in an impaired central nervous system. The prevalence of spasticity as an upper motor neuron problem is small compared to the peripheral neurogenic mechanisms. Oftentimes spasticity is a symptom of a peripheral nervous system mechanism domination and requires the correct subgrouping and therapeutic exercise to decrease spasticity in order to achieve optimal independence in function in the pediatric population with neurological impairments.