{"id":1900,"date":"2025-07-21T20:44:01","date_gmt":"2025-07-21T20:44:01","guid":{"rendered":"https:\/\/www.healthclick.com\/blog\/?p=1900"},"modified":"2026-02-23T14:39:04","modified_gmt":"2026-02-23T14:39:04","slug":"managing-post-stroke-hypertonicity","status":"publish","type":"post","link":"https:\/\/www.healthclick.com\/blog\/managing-post-stroke-hypertonicity\/","title":{"rendered":"Managing Post Stroke Hypertonicity"},"content":{"rendered":"\n<p>One of the most challenging aspects of managing post-stroke hypertonicity in individuals is isolated motor control. The online course&nbsp;&#8220;<a href=\"https:\/\/www.healthclick.com\/courses\/stroke-etiology-and-pathways.php\">Stroke &#8211; Understanding Etiology and Developing Evidence-Based Pathways to Achieve Functional Outcomes<\/a>&#8221;&nbsp;provides comprehensive functional solutions to identify effective rehabilitation strategies for post-stroke functional challenges.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/mybSqrUHaVk?rel=0\" title=\"YouTube video player\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\" width=\"840\" height=\"473\" frameborder=\"0\"><\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\">Hypertonicity Management<\/h2>\n\n\n\n<p>When working from a motor control standpoint, we want to ensure that we&#8217;re focusing on the correct movement.<\/p>\n\n\n\n<p>One of the cornerstones for working on motor control initially is weight bearing. &nbsp;Weight-bearing with good proper biomechanical alignment not only decreases hypertonicity but it also is the cornerstone for motor control, so that&#8217;s a great place to start.<\/p>\n\n\n\n<p>We want to make sure that, from a strengthening standpoint, we&#8217;re focusing on eccentric muscle strengthening.<\/p>\n\n\n\n<p>Should you strengthen individuals who are post-stroke and have hypertonicity? &nbsp;The research came out with Pak and Patten in 2008, and the evidence in my opinion finally caught up with what we&#8217;re doing in the clinic.  &#8220;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18647724\/\">Despite limited long-term follow-up data, there is evidence that resistance training produces increased strength, gait speed, and functional outcomes and improved quality of life without exacerbation of spasticity<\/a>.&#8221;1<\/p>\n\n\n\n<p>When we&#8217;re talking about strengthening, we need to identify the importance of the trunk.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Enhance Your Rehab Skills in Managing Hypertonicity<\/h2>\n\n\n\n<p>Unlock a comprehensive library of online courses with Healthclick and gain expert insights from leading rehab educators and clinicians on managing post-stroke functional deficits.<\/p>\n\n\n\n<p>Learn More about this topic in the <a href=\"https:\/\/www.healthclick.com\/healthclick_subscription.php\">Healthclick Online Subscription<\/a> or the online course, <a href=\"https:\/\/www.healthclick.com\/courses\/stroke-etiology-and-pathways.php\">Stroke &#8211; Understanding Etiology and Developing Evidence-Based Pathways to Achieve Functional Outcomes<\/a> <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.healthclick.com\/healthclick_subscription.php\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"404\" src=\"https:\/\/www.healthclick.com\/blog\/wp-content\/uploads\/worlwide-access-to-subscription_1-768x404-1.jpg\" alt=\"Healthclick Subscription\" class=\"wp-image-1863\" srcset=\"https:\/\/www.healthclick.com\/blog\/wp-content\/uploads\/worlwide-access-to-subscription_1-768x404-1.jpg 768w, https:\/\/www.healthclick.com\/blog\/wp-content\/uploads\/worlwide-access-to-subscription_1-768x404-1-300x158.jpg 300w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/a><\/figure>\n\n\n\n<p>Coming soon to the <a href=\"https:\/\/www.healthclick.com\/index.php\">online subscription<\/a>: The Neuro Series, sign up for newsletter updates on new courses. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"> References for Managing Post Stroke Hypertonicity<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Pak S, Patten C. Strengthening to promote functional recovery poststroke: an evidence-based review. Top Stroke Rehabil. 2008 May-Jun;15(3):177-99. doi: 10.1310\/tsr1503-177. PMID: 18647724.<\/li>\n\n\n\n<li>Shahid J, Kashif A, Shahid MK. A Comprehensive Review of Physical Therapy Interventions for Stroke Rehabilitation: Impairment-Based Approaches and Functional Goals.&nbsp;<em>Brain Sciences<\/em>. 2023; 13(5):717.<\/li>\n\n\n\n<li>Suputtitada A, Chatromyen S, Chen CPC, Simpson DM. Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review.&nbsp;<em>Toxins<\/em>. 2024; 16(2):98.<\/li>\n\n\n\n<li>O&#8217;Flaherty D, Ali K. Recommendations for Upper Limb Motor Recovery: An Overview of the UK and European Rehabilitation after Stroke Guidelines (2023). Healthcare (Basel). 2024 Jul 18;12(14):1433. doi: 10.3390\/healthcare12141433. PMID: 39057576; PMCID: PMC11276617.<\/li>\n<\/ol>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of the most challenging aspects of managing post-stroke hypertonicity in individuals is isolated motor control. The online course&nbsp;&#8220;Stroke &#8211; Understanding Etiology and Developing Evidence-Based Pathways to Achieve Functional Outcomes&#8221;&nbsp;provides comprehensive functional solutions to identify effective rehabilitation strategies for post-stroke functional challenges. Hypertonicity Management When working from a motor control [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1908,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[7,17],"tags":[64],"class_list":["post-1900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-evidenced-based-information","category-stroke-and-neuro-rehabilitation","tag-stroke-rehab-continuing-education"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Managing Post Stroke Hypertonicity - healthclick blog<\/title>\n<meta name=\"description\" content=\"One of the most challenging aspects of managing post-stroke hypertonicity in individuals is isolated motor control.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthclick.com\/blog\/managing-post-stroke-hypertonicity\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Managing Post Stroke Hypertonicity - 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