Spasticity versus Rigidity (Stanford 25 Skills Symposium, 2015)

On September 28th & 29th, 2015, the Stanford Medicine 25 team hosted the first annual bedside exam symposium for clinicians and educators. The purpose was to share how we do bedside teaching and allow them to improve upon their bedside exam skills.
This video is a part of a larger group of videos that were created during the symposium. In this short excerpt, Dr. Steve McGee talks about the approach to differentiating spasticity versus rigidity.
Learn more about past and upcoming symposiums on the bedside exam:
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[@mayethpalay1828]

Thank you!!!!!!
Here’s a summary:
In spasticity, the resistance during flexion and extension is not equal. Hence it produces characteristic postures. It is also velocity dependent- the quicker you move the patient’s limbs, the stronger the resistance will be.
Meanwhile, in rigidity, the resistance is the same in any direction you move the patient’s limb, and resistance is not velocity dependent.
Cogwheel deformity is rigidity plus tremor.

[@nitunsarkar9695]

Thanks!

[@ashutoshshinde9299]

Read so much in books never got clarity, here I understood in just min, thank you

[@frankorlando3794]

Pro trick : watch series at flixzone. I've been using it for watching lots of of movies lately.

[@sonnyari1150]

@Frank Orlando Yup, I have been watching on Flixzone} for months myself =)

[@BasitAli-lk6jf]

No one could explain it in a way better than you just did. Thank you Dr.

[@sayad7195boksha]

Thank you very much. That explains a vital difference between upper motor neuron lesion and extrapyramidal lesion.

[@gp7706]

Thanks a lot Stanford Med...Keep up the great work..

[@carinaszpunarribeiro2479]

Thank you for this excellent explanation, Dr. McGee! 🇧🇷

[@daviddivineful]

Wow. Simplistically explained. I am in nursing and my instructor half explained it. Surprised because she is absolutely phenomenal in breaking down complex processes into its simplest forms. Regardless, great explanation. Thank you.

[@avantikaraina9483]

Wow!! Beautiful explained!! Such an amazing doctor ❤

[@Cut_Travel_Repeat]

beautifully explained dr☺

[@mohe6327]

bless you dr you so good I love dr who don't speak from slides and know what they r talking about make me follow his thoughts love respect

[@glodieglodie919]

Omg, the best video ever, i finally got clarity about this. Thanks so much 🙏

[@StanfordMedicine25]

Glad it was helpful!

[@user-dx5sd4lb5b]

thank you for this explanation 😊😊

[@MG-dn2qm]

thanks so much for a such a delightful explanation.

[@maxlucy9768]

Perfect explanation

[@vikaschandravidyarthi5701]

Very nice and simple

[@dwaithasivadas2421]

Very clear explanation

[@waelsuhail1919]

Thank you so much

[@AKAzad-cd4jp]

OMG! So easy to understand

[@vidhyapathi1135]

perfectly explained sir

[@vivekla9386]

Suuperb explanation

[@NguyenKhang-mo2dd]

Thanks a lot!!!

[@jacobstaton99]

Rigidity is uniformly consistent resistance to passive stretch as opposed to the directly proportionate relationship to velocity of which is spasticity

[@mariamlaith2535]

Really good thank you doctor

[@zarnashah5833]

Thank you sir..

[@prashantj50]

Thanks a lot sir

[@hanyelbanna3673]

Wonderful
Thanks

[@SalemAlmatrafi]

perfection

[@mohammad.shokrolahi]

it took only 2:26 minutes to get my answer , thank you

[@pihulllv9899]

Thankyou so much

[@phyothiha8355]

Thanks

[@sci8469]

Thank u doctor

[@RoyRahebKhelo]

May someone explain what's the third condition that can also result in resistance to movement. The Dr. described the "two big ones," but no mention of the third.

[@sujith2074]

Paratonia

[@hariom-vy2kz]

Very nicely explained
INDIA

[@rajeshkannandoc]

Vera lvl

[@LaraTheeCroft]

Dr. ASMR

[@osamahosam]

something wrong , he describes both of them as spasticity ? did he mean rigidity in the first one ?

[@ishgarg4474]

no , he said spasticity is velocity dep. but rigidity is uniformly rigid ( not dependent on velocity ) i.e. on flexion and extension same rigidity occurs

[@StanfordMedicine25]

Thank you Ish

[@user-dx5sd4lb5b]

thank you for this explanation 😊😊

[@moaazabdullah894]

Thank you so much

[@athuls6740]

Thank u very much sir

[@user-dx5sd4lb5b]

thank you for this explanation 😊😊

[@user-dx5sd4lb5b]

thank you for this explanation 😊😊

[@user-dx5sd4lb5b]

thank you for this explanation 😊😊

[@laylas4746]

علاج طبيعي؟

[@manal8649]

كم مرة كاتب الكومنت انت