Spastic abasia

Spastic abasia is a neurological disorder characterized by an inability to control the muscles necessary for walking, despite having the physical strength to do so. This condition is a type of gait abnormality, and is often associated with spasticity, a condition involving increased muscle tone or stiffness which can interfere with movement.

Causes

Spastic abasia is typically caused by damage to the nervous system, particularly areas of the brain or spinal cord that control muscle movement. This damage can be the result of a variety of conditions, including stroke, multiple sclerosis, cerebral palsy, and traumatic brain injury. In some cases, spastic abasia may be a symptom of a psychogenic movement disorder, in which psychological factors lead to physical symptoms.

Symptoms

The primary symptom of spastic abasia is difficulty walking due to muscle stiffness or uncontrolled muscle movements. Individuals with this condition may have a stiff, scissor-like gait that can make it difficult to move forward. They may also experience muscle spasms, particularly in the legs, as well as muscle weakness and fatigue.

Diagnosis

Diagnosis of spastic abasia typically involves a thorough medical history and physical examination, as well as tests to evaluate muscle strength, reflexes, and coordination. Imaging tests such as MRI or CT scan may be used to identify any damage or abnormalities in the brain or spinal cord. In some cases, a psychological evaluation may be necessary to determine if the symptoms are related to a psychogenic movement disorder.

Treatment

Treatment for spastic abasia is typically focused on managing symptoms and improving mobility. This may involve physical therapy to improve strength and coordination, as well as medications to manage spasticity and muscle spasms. In some cases, assistive devices such as braces or walkers may be necessary. If the condition is related to a psychogenic movement disorder, psychological therapy may be beneficial.

See also

• Abasia
• Spasticity
• Gait abnormality
• Neurological disorder