What is a common non-pharmacologic approach to managing spasticity?

• A. High-intensity interval training
• B. Stretching and positioning
• C. Complete immobilization
• D. Antibiotics

Answer: (B)

Spasticity is a velocity-dependent increase in muscle tone that can limit movement, so non-drug strategies focus on keeping muscles flexible and joints well-aligned. Regular stretching lengthens the muscle-tendon unit, reducing resistance to motion and helping prevent contractures over time. Proper positioning maintains neutral joint alignment, supports soft tissue length, and preserves range of motion and functional mobility. Together, these techniques directly address the mechanical and functional aspects of spasticity without medications, making them a common first-line approach.

Other options don’t target spasticity in the same direct way: high-intensity interval training emphasizes cardiovascular fitness rather than reducing muscle tone; complete immobilization can lead to further stiffness and loss of range of motion; antibiotics have no role in managing spasticity.