Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews.

@article{Khan2017NonpharmacologicalIF,
  title={Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews.},
  author={Fary Khan and Bhasker Amatya and Djamel Bensmail and Alain P. Yelnik},
  journal={Annals of physical and rehabilitation medicine},
  year={2017}
}
  • F. Khan, B. Amatya, A. Yelnik
  • Published 1 October 2017
  • Medicine, Psychology
  • Annals of physical and rehabilitation medicine
View on PubMed
doi.org
54 Citations
Highly Influential Citations
1
Background Citations
14
Methods Citations
1

Figures and Tables from this paper

54 Citations

Effectiveness of Physiotherapy Interventions on Spasticity in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis
TLDR
Physiotherapy interventions can be a safe and beneficial option forSpasticity in people with multiple sclerosis and no firm conclusion can be drawn on overall spasticity.
Does TENS Reduce the Intensity of Acute and Chronic Pain? A Comprehensive Appraisal of the Characteristics and Outcomes of 169 Reviews and 49 Meta-Analyses
TLDR
This comprehensive review critically appraise the characteristics and outcomes of systematic reviews evaluating the clinical efficacy of TENS for any type of acute and chronic pain in adults to recommend that TENS should be considered as a treatment option.
Long-Term Efficacy of Extracorporeal Shock Wave Therapy on Lower Limb Post-Stroke Spasticity: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
TLDR
The high level of evidence presented in this paper showed that ESWT ameliorates spasticity considering the parameters and the intervention did not present adverse events, proving a satisfactory safety profile.
Evidence about the use of Kinesio Taping in subjects with neurological disorders: an overview of systematic reviews
TLDR
Although there are gaps in the literature with a range of Kinesio Taping techniques in use, the findings of this review suggest that recording may be effective when used in patients with neurological disorders.
Adjunct therapies after botulinum toxin injections in spastic adults: systematic review and SOFMER recommendations.
Physiotherapy interventions for the treatment of spasticity in people with spinal cord injury: a systematic review.
TLDR
There is no high-quality evidence to indicate that physiotherapy interventions decrease spasticity but this may reflect a lack of research on the topic.
Which interventions are useful for managing muscle spasticity in individuals who sustained traumatic brain injury? - A Cochrane Review summary with commentary.
  • S. Laxe
  • Medicine
    NeuroRehabilitation
  • 2019
TLDR
The effects of different interventions used for muscle spasticity after TBI are assessed to assess high quality adequately powered trials in patients with TBI.
Long-term Effects of Extracorporeal Shock Wave Therapy on Poststroke Spasticity: A Meta-analysis of Randomized Controlled Trials.
  • Gongwei Jia, Jingxi Ma, Li Cheng
  • Medicine, Psychology
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
  • 2019
Effectiveness of Shock Wave Therapy as a Treatment for Spasticity: A Systematic Review
TLDR
The results obtained suggest that shock wave therapy appears to be effective in reducing spasticity levels irrespective of the age of the participants, the type of injury, and the tool used to measure the effect.
The Effect and Dose-Response of Functional Electrical Stimulation Cycling Training on Spasticity in Individuals With Spinal Cord Injury: A Systematic Review With Meta-Analysis
TLDR
Functional electrical stimulation-cycling training can improve spasticity, walking ability, and the strength of the lower limbs in the individuals with SCI.
...
...

References

SHOWING 1-10 OF 63 REFERENCES
Rehabilitation in Multiple Sclerosis: A Systematic Review of Systematic Reviews.
  • F. Khan, B. Amatya
  • Medicine, Psychology
    Archives of physical medicine and rehabilitation
  • 2017
Non pharmacological interventions for spasticity in multiple sclerosis.
TLDR
There is 'low level' evidence for non pharmacological interventions such as physical activities given in conjunction with other interventions, and for magnetic stimulation and electromagnetic therapies for beneficial effects on spasticity outcomes in people with MS.
Assessment of spasticity after stroke using clinical measures: a systematic review
TLDR
Limited evidence to support the use of most of clinical measures of spasticity for people post-stroke is found, and insufficient evidence of psychometric properties precludes recommending one tool over the others.
Treatments for spasticity and pain in multiple sclerosis: a systematic review.
TLDR
There was very little evidence that tizanidine performed any better in this respect than other drugs, although it is more expensive, and it was suggested that, although expensive, the use of intrathecal baclofen may be associated with significant savings in hospitalisation costs in relation to bed-bound patients who are at risk of developing pressure sores, thus enhancing its cost-effectiveness.
The effects of stretching in spasticity: a systematic review.
Pharmacological management of spasticity in multiple sclerosis: Systematic review and consensus paper
TLDR
The available studies on spasticity treatment offer some insight to guide clinical practice but are of variable methodological quality and large, well-designed trials are needed to confirm the effectiveness of antispasticity agents and to produce evidence-based treatment algorithms.
Breakthroughs in the spasticity management: Are non-pharmacological treatments the future?
Electroacupuncture for Poststroke Spasticity: A Systematic Review and Meta-Analysis.
Effectiveness of Stretch for the Treatment and Prevention of Contractures in People With Neurological Conditions: A Systematic Review
TLDR
Regular stretch does not produce clinically important changes in joint mobility, pain, spasticity, or activity limitation in people with neurological conditions.
Acupuncture for the treatment of spasticity after stroke: a meta-analysis of randomized controlled trials.
TLDR
Larger and more methodologically sound trials are needed to definitively confirm or refute any effect of acupuncture as a treatment for spasticity after stroke.
...
...