The clinical consequences of severe spasticity diminish the quality of life. They include:

• Impaired sleep
• Pain
• Impaired movement
• Loss of function
• Contractures
• Disturbances of bladder and bowel function

Severe spasticity also has significant consequences for caretakers. It makes it more difficult to care for the patient in a number of areas including:

• Dressing the patient
• Feeding • Toileting
• Exercising
• Transferring
• Personal hygiene
• Bathing
• Nursing