<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-0839</journal-id>
<journal-title><![CDATA[Universitas Medica]]></journal-title>
<abbrev-journal-title><![CDATA[Univ. Med.]]></abbrev-journal-title>
<issn>2011-0839</issn>
<publisher>
<publisher-name><![CDATA[Pontificia Universidad Javeriana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-08392021000100008</article-id>
<article-id pub-id-type="doi">10.11144/javeriana.umed62-1.espa</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Espasticidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Spasticity]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Vega]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ocampo-Navia]]></surname>
<given-names><![CDATA[Maria Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acevedo-González]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Ignacio  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cabo Verde</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>62</volume>
<numero>1</numero>
<fpage>86</fpage>
<lpage>98</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-08392021000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-08392021000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-08392021000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La espasticidad es un trastorno motor que es parte del síndrome de motoneurona superior y que se caracteriza por un incremento dependiente de la velocidad del reflejo tónico de estiramiento o de tono muscular. Es muy frecuente en pacientes con síndrome de motoneurona superior, secundario a diversas patologías como ataque cerebrovascular, lesiones medulares, esclerosis múltiple y parálisis cerebral. De ahí que sea fundamental un abordaje multidisciplinario e individualizado en el tratamiento de los pacientes; e incluye como pilares el manejo no farmacológico, farmacológico, neuroquirúrgico y ortopédico. Esta es una revisión no sistematizada pero actualizada sobre la historia, la epidemiología, la fisiopatología y el abordaje diagnóstico y terapéutico de la espasticidad, tanto en la población adulta como en la pediátrica, para como plantear un algoritmo terapéutico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Spasticity is a motor disorder that forms part of the upper motor neuron syndrome and it is characterized by a speed-dependent increase in the tonic stretch reflex or muscle tone. It is frequently seen in patients with upper motor neuron syndrome secondary to various pathologies such as cerebrovascular attacks, spinal cord injuries, multiple sclerosis and cerebral palsy. A multidisciplinary and individualized approach is essential in the treatment of patients; which includes non-pharmacological, pharmacological, neurosurgical and orthopedic management. The present paper intends to carry out an updated non-systematic review on the history, epidemiology, pathophysiology, diagnosis and therapeutic approach to spasticity, both in the adult and pediatric population; as well as proposing a therapeutic algorithm.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[espasticidad muscular]]></kwd>
<kwd lng="es"><![CDATA[distonía]]></kwd>
<kwd lng="es"><![CDATA[hipertonía muscular]]></kwd>
<kwd lng="es"><![CDATA[neurofarmacología]]></kwd>
<kwd lng="en"><![CDATA[muscle spasticity]]></kwd>
<kwd lng="en"><![CDATA[dystonia]]></kwd>
<kwd lng="en"><![CDATA[muscle hypertonia]]></kwd>
<kwd lng="en"><![CDATA[neuropharmacology]]></kwd>
</kwd-group>
</article-meta>
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