Application of the spastic-app for patients

Who is suitable for using the spastic-app?

Patients who have recently had a stroke (with the support of their doctor, nurse, physiotherapist or family member).

If you can't cope with the image interpretation when using the spastic-app, then we provide you with information on the ten videos in the spastic-app here.

Explanation for video 1:

Relatives kneel in front of the patient and move their foot as shown in the video. In doing so, he grasps the muscles on the back of the lower leg so that he can determine the rhythmic muscle contractions – also known as cloni – together with the patient.

Further explanations:

Exhaustive means that after triggering the clones by moving the foot, as shown in the video, the "muscle twitching" that the relative and the patient can feel in the calf muscle on the back of the lower leg ends by itself as soon as the foot is no longer moved.

Inexhaustible means that after triggering the clones by moving the foot, as shown in the video, the “muscle twitching” that the relative and the patient can feel in the calf muscle on the back of the lower leg does not stop by itself. The "muscle twitching" can only be stopped by holding the foot.

Explanation for video 2:

In this video you can see how to put on the stocking with the help of your right hand as an example of the increased exertion. Of course, increased exertion can also be generated by other physical movements, such as lifting a heavy object, squatting, or climbing stairs quickly.

Explanation for video 3:

Patient gets up from the chair. Subsequent assessment of knee and foot position. If the leg cannot be extended and straightened, please press the yellow button. If the heel of the leg that is not fully or fully extended does not touch the ground, please press the red button.

Explanation for video 4:

The relative kneels in front of the patient, grasping the affected leg with one hand below the knee and with the other hand grasping the foot. Flexion and extension as shown in the video. The patient and relatives feel either no resistance, slight resistance, or pronounced resistance.

Green: Normal movement without resistance. When bending and straightening the knee, neither the patient nor the family member feels any muscular resistance.

Yellow: slight resistance felt by the patient and family members, as shown in the video.

Red: more difficult resistance or the lower leg can hardly be bent or stretched, in any case only with significantly greater exertion compared to the exertion as shown in the video.

Explanation for video 5:

When walking, the foot turns inward. Foot loading occurs on the outer edge of the foot. Turning in slightly means up to an angle of approx. 45 degrees. Anything beyond that is a strong turn in and requires the red button to be pressed.

Explanation for video 6:

When sitting, the toes are relaxed and in a normal position. Once you stand up and your toes stay in that position then press the green button. Otherwise, judge the toe clawing as described in the buttons.

Explanation video 7:

The relative fixes the arm in the shoulder area and grasps the wrist and bends and extends the elbow as shown in the video. Carry out these movements slowly and carefully to get a feeling for the movement sequence. Afterwards, please bend and straighten the elbow joint quickly and ask the patient to give you feedback as to whether he feels any discomfort or pain.

Explanation for video 8:

The relative stabilizes the elbow by grasping the patient's elbow from below. The patient performs the movement as shown in the video and assesses the release of the ball as described in the three buttons.

Explanation for video 9:

This video is self-explanatory. To give you a guide, we would define elbow flexion less than 45 degrees as slight flexion and much more than that as severe flexion.

Explanation forvideo 10:

This is easy to do. Sit in a chair and rest your forearms on the table in a relaxed manner. In this position, the pectoral muscle is not tight in a healthy person. You can easily slide it back and forth or press it in. If necessary, test this with a relative. If the pectoral muscle is tense compared to your tactile experience in yourself or a relative and can hardly be moved or pressed in, then use the yellow button. Any tension beyond that, eg if it feels like a tight biceps muscle on the upper arm, requires using the red button.

What are the benefits of using the spasticity app? This spasticity app can help you identify the warning signs of developing spasticity.

How does the registration work?

Your doctor, nursing staff, physiotherapist or relatives will help you register and explain in detail why you need to use the spastic-app.

Download Flyer - Spasticity App for Patients

How do you use the spastic-app?

The traffic light principle