Following a stroke, it may feel easier to compensate for decreased function by using only the more efficient, unaffected limb. This is where the popular neurorehab phrase “ use it or lose it” comes from. However, this learned compensation leads to decreased use of the affected limb and can make recovery slower and more difficult. Learned non-use occurs frequently following stroke and is a result of the brain trying to compensate for lost function and be more efficient. Learned non-use is a phenomenon that occurs when a person neglects their limb and the brain begins to disengage or disassociate from that limb. How to Prevent Spasticity in the Hand from Worsening However, even if spasticity has progressed to contractures, there are still ways to relax the muscles in the hand and fingers, although this will require time and consistency.īefore exploring the different methods of hand spasticity treatment, we’d like to review prevention techniques to avoid worsening of hand spasticity and curled fingers after stroke. This will help maximize function and avoid the increased pain or discomfort that can accompany contractures. It’s important to manage spasticity early to prevent contractures from developing. When contractures develop, the range of motion of the fingers and wrist becomes restricted, causing the fingers to curl into the palm. Over time, spasticity can lead to curled fingers after stroke and, when left untreated, can contribute to the development of contractures.Ĭontractures are characterized by extreme stiffness or shortening in the muscles, joints, and connective tissue. This spasticity and decreased voluntary (intentional) movement prevent the wrist, hand, and fingers from moving through their full range of motion. As a result, the hand muscles will contract involuntarily, or spasm. When a stroke damages areas of the brain that control hand function, such as the motor cortex, it disrupts that communication between the hand and nervous system. The brain and nervous system are in constant communication with your muscles, telling your muscles when to move and when to relax. ![]() Causes of a Clenched Hand & Curled Fingers After Stroke This article will discuss the causes and treatment for severe hand spasticity and curled fingers after stroke. This severe spasticity in the hand is due to miscommunication between the brain and muscles, causing the muscles that control the hand to spasm and gradually tighten.įortunately, there are ways to rewire the brain and restore mobility in the hand and fingers. For many survivors, spasticity affects the arm and hand and often leads to a clenched hand or curled fingers after stroke. Spasticity is a secondary effect commonly experienced after stroke that can cause muscles to become stiff or tight.
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