Which statement best describes the role of stretching and splinting when a patient with SCI is being treated with oral baclofen for spasticity?

Which statement best describes the role of stretching and splinting when a patient with SCI is being treated with oral baclofen for spasticity?

• A. Stretching and splinting should be avoided once medication is started
• B. Stretching and splinting should be used as adjuncts to pharmacological management
• C. Stretching and splinting alone can replace pharmacological therapy
• D. Stretching and splinting are only useful for upper-extremity spasticity

Answer: (B)

Managing spasticity in spinal cord injury with oral baclofen works best when you combine the medication with physical strategies like stretching and splinting. Baclofen lowers the abnormal muscle tone by dampening reflex activity, but it doesn’t automatically prevent contractures or keep joints moving freely. Regular stretching helps lengthen muscles, maintain joint range of motion, and reduce resistance to movement, while splints hold joints in functional positions to prevent shortening during times of inactivity or sleep. Using both together supports and enhances the medication’s effects, improves comfort and function, and helps prevent secondary problems. They are used as adjuncts to pharmacologic therapy, not as replacements, and they can be applied to multiple affected limbs, not just the upper extremities.

Managing spasticity in spinal cord injury with oral baclofen works best when you combine the medication with physical strategies like stretching and splinting. Baclofen lowers the abnormal muscle tone by dampening reflex activity, but it doesn’t automatically prevent contractures or keep joints moving freely. Regular stretching helps lengthen muscles, maintain joint range of motion, and reduce resistance to movement, while splints hold joints in functional positions to prevent shortening during times of inactivity or sleep. Using both together supports and enhances the medication’s effects, improves comfort and function, and helps prevent secondary problems. They are used as adjuncts to pharmacologic therapy, not as replacements, and they can be applied to multiple affected limbs, not just the upper extremities.