Procedures aiming at reducing spasticity consist in partial resection of the motor nerves* of the spastic muscles. The involved nerves are identified during the operation with the help of electrical stimulation, and part of their motor branches are cut and removed (usually 2/3 of the branches).
This is referred to as selective neurectomy. As a result, the muscle is less spastic, but does not loose strength. Our recent studies (see curriculum) have demonstrated that this effect is long lasting.
No immobilization is required after this procedure. Physiotherapy is usually started after two weeks.