For instance, if a person has a weak leg, their spasticity may actually be helpful for standing and walking. I know of casaes where the dose of baclofen needed to be reduced in order to allow spasticity to help a person to walk. So the decision to treat spasticity, and how much to reduce it is individualized to a person's needs. The general guidelines state that you should wait one year after an injury before implanting the pump. I think that this may be too restrictive, particularly for the reason you stated.
Spasticity frequently results in contractures, which is an inability to move a limb.
If provided earlier than one year, you can frequently avoid contractures or at the very least, lessen there severity. The pump does not adjust itself. ITB is used in several neurological disorders. The most frequent disorders in which it is used is TBI, spinal cord injury, multiple sclerosis and cerebral palsy. All of these conditions involve injury to the central nervous system.