Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews.
Identifieur interne : 000821 ( Main/Exploration ); précédent : 000820; suivant : 000822Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews.
Auteurs : Fary Khan [Australie] ; Bhasker Amatya [Australie] ; Djamel Bensmail [France] ; Alain Yelnik [France]Source :
- Annals of physical and rehabilitation medicine [ 1877-0665 ] ; 2019.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (complications), Adulte (MeSH), Humains (MeSH), Lésions encéphaliques (complications), Médecine factuelle (MeSH), Sclérose en plaques (complications), Spasticité musculaire (rééducation et réadaptation), Spasticité musculaire (thérapie), Spasticité musculaire (étiologie), Techniques de physiothérapie (MeSH), Thérapie par acupuncture (MeSH), Traitement par ondes de choc extracorporelles (MeSH), Traumatismes de la moelle épinière (complications), Électrothérapie (méthodes).
- MESH :
- méthodes : Électrothérapie.
- rééducation et réadaptation : Spasticité musculaire.
- thérapie : Spasticité musculaire.
- étiologie : Spasticité musculaire.
- complications : Accident vasculaire cérébral, Adulte, Humains, Lésions encéphaliques, Médecine factuelle, Sclérose en plaques, Techniques de physiothérapie, Thérapie par acupuncture, Traitement par ondes de choc extracorporelles, Traumatismes de la moelle épinière.
English descriptors
- KwdEn :
- Acupuncture Therapy (MeSH), Adult (MeSH), Brain Injuries (complications), Electric Stimulation Therapy (methods), Evidence-Based Medicine (MeSH), Extracorporeal Shockwave Therapy (MeSH), Humans (MeSH), Multiple Sclerosis (complications), Muscle Spasticity (etiology), Muscle Spasticity (rehabilitation), Muscle Spasticity (therapy), Physical Therapy Modalities (MeSH), Spinal Cord Injuries (complications), Stroke (complications).
- MESH :
- complications : Brain Injuries, Multiple Sclerosis, Spinal Cord Injuries, Stroke.
- etiology : Muscle Spasticity.
- methods : Electric Stimulation Therapy.
- rehabilitation : Muscle Spasticity.
- therapy : Muscle Spasticity.
- Acupuncture Therapy, Adult, Evidence-Based Medicine, Extracorporeal Shockwave Therapy, Humans, Physical Therapy Modalities.
Abstract
OBJECTIVES
Spasticity causes significant long-term disability-burden, requiring comprehensive management. This review evaluates evidence from published systematic reviews of clinical trials for effectiveness of non-pharmacological interventions for improved spasticity outcomes.
METHODS
Data sources: a literature search was conducted using medical and health science electronic (MEDLINE, EMBASE, CINAHL, PubMed, and the Cochrane Library) databases for published systematic reviews up to 15th June 2017.
DATA EXTRACTION AND SYNTHESIS
two reviewers applied inclusion criteria to select potential systematic reviews, independently extracted data for methodological quality using Assessment of Multiple Systematic Reviews (AMSTAR). Quality of evidence was critically appraised with Grades of Recommendation, Assessment, Development and Evaluation (GRADE).
RESULTS
Overall 18 systematic reviews were evaluated for evidence for a range of non-pharmacological interventions currently used in managing spasticity in various neurological conditions. There is "moderate" evidence for electro-neuromuscular stimulation and acupuncture as an adjunct therapy to conventional routine care (pharmacological and rehabilitation) in persons following stroke. "Low" quality evidence for rehabilitation programs targeting spasticity (such as induced movement therapy, stretching, dynamic elbow-splinting, occupational therapy) in stroke and other neurological conditions; extracorporeal shock-wave therapy in brain injury; transcranial direct current stimulation in stroke; transcranial magnetic stimulation and transcutaneous electrical nerve stimulation for other neurological conditions; physical activity programs and repetitive magnetic stimulation in persons with MS, vibration therapy for SCI and stretching for other neurological condition. For other interventions, evidence was inconclusive.
CONCLUSIONS
Despite the available range of non-pharmacological interventions for spasticity, there is lack of high-quality evidence for many modalities. Further research is needed to judge the effect with appropriate study designs, timing and intensity of modalities, and associate costs of these interventions.
DOI: 10.1016/j.rehab.2017.10.001
PubMed: 29042299
Affiliations:
Links toward previous steps (curation, corpus...)
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This review evaluates evidence from published systematic reviews of clinical trials for effectiveness of non-pharmacological interventions for improved spasticity outcomes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Data sources: a literature search was conducted using medical and health science electronic (MEDLINE, EMBASE, CINAHL, PubMed, and the Cochrane Library) databases for published systematic reviews up to 15th June 2017.</p></div><div type="abstract" xml:lang="en"><p><b>DATA EXTRACTION AND SYNTHESIS</b></p><p>two reviewers applied inclusion criteria to select potential systematic reviews, independently extracted data for methodological quality using Assessment of Multiple Systematic Reviews (AMSTAR). Quality of evidence was critically appraised with Grades of Recommendation, Assessment, Development and Evaluation (GRADE).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Overall 18 systematic reviews were evaluated for evidence for a range of non-pharmacological interventions currently used in managing spasticity in various neurological conditions. There is "moderate" evidence for electro-neuromuscular stimulation and acupuncture as an adjunct therapy to conventional routine care (pharmacological and rehabilitation) in persons following stroke. "Low" quality evidence for rehabilitation programs targeting spasticity (such as induced movement therapy, stretching, dynamic elbow-splinting, occupational therapy) in stroke and other neurological conditions; extracorporeal shock-wave therapy in brain injury; transcranial direct current stimulation in stroke; transcranial magnetic stimulation and transcutaneous electrical nerve stimulation for other neurological conditions; physical activity programs and repetitive magnetic stimulation in persons with MS, vibration therapy for SCI and stretching for other neurological condition. For other interventions, evidence was inconclusive.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Despite the available range of non-pharmacological interventions for spasticity, there is lack of high-quality evidence for many modalities. Further research is needed to judge the effect with appropriate study designs, timing and intensity of modalities, and associate costs of these interventions.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29042299</PMID><DateCompleted><Year>2020</Year><Month>01</Month><Day>27</Day></DateCompleted><DateRevised><Year>2020</Year><Month>01</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1877-0665</ISSN><JournalIssue CitedMedium="Internet"><Volume>62</Volume><Issue>4</Issue><PubDate><Year>2019</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Annals of physical and rehabilitation medicine</Title><ISOAbbreviation>Ann Phys Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews.</ArticleTitle><Pagination><MedlinePgn>265-273</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1877-0657(17)30415-3</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.rehab.2017.10.001</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Spasticity causes significant long-term disability-burden, requiring comprehensive management. This review evaluates evidence from published systematic reviews of clinical trials for effectiveness of non-pharmacological interventions for improved spasticity outcomes.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Data sources: a literature search was conducted using medical and health science electronic (MEDLINE, EMBASE, CINAHL, PubMed, and the Cochrane Library) databases for published systematic reviews up to 15th June 2017.</AbstractText><AbstractText Label="DATA EXTRACTION AND SYNTHESIS" NlmCategory="METHODS">two reviewers applied inclusion criteria to select potential systematic reviews, independently extracted data for methodological quality using Assessment of Multiple Systematic Reviews (AMSTAR). Quality of evidence was critically appraised with Grades of Recommendation, Assessment, Development and Evaluation (GRADE).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall 18 systematic reviews were evaluated for evidence for a range of non-pharmacological interventions currently used in managing spasticity in various neurological conditions. There is "moderate" evidence for electro-neuromuscular stimulation and acupuncture as an adjunct therapy to conventional routine care (pharmacological and rehabilitation) in persons following stroke. "Low" quality evidence for rehabilitation programs targeting spasticity (such as induced movement therapy, stretching, dynamic elbow-splinting, occupational therapy) in stroke and other neurological conditions; extracorporeal shock-wave therapy in brain injury; transcranial direct current stimulation in stroke; transcranial magnetic stimulation and transcutaneous electrical nerve stimulation for other neurological conditions; physical activity programs and repetitive magnetic stimulation in persons with MS, vibration therapy for SCI and stretching for other neurological condition. For other interventions, evidence was inconclusive.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Despite the available range of non-pharmacological interventions for spasticity, there is lack of high-quality evidence for many modalities. Further research is needed to judge the effect with appropriate study designs, timing and intensity of modalities, and associate costs of these interventions.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of rehabilitation medicine, Royal Melbourne Hospital, 34-54, Poplar Road, Parkville, VIC 3052, Victoria, Australia; Department of medicine, Royal Melbourne Hospital, The University of Melbourne, Parkville, Victoria, Australia; Australian Rehabilitation Research Centre, Royal Melbourne Hospital, Parkville, Victoria, Australia. Electronic address: fary.khan@mh.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amatya</LastName><ForeName>Bhasker</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of rehabilitation medicine, Royal Melbourne Hospital, 34-54, Poplar Road, Parkville, VIC 3052, Victoria, Australia; Department of medicine, Royal Melbourne Hospital, The University of Melbourne, Parkville, Victoria, Australia; Australian Rehabilitation Research Centre, Royal Melbourne Hospital, Parkville, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bensmail</LastName><ForeName>Djamel</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>UMR1179, Inserm, department of physical and rehabilitation medicine, Spinal Cord Injury Unit, Raymond-Poincaré Hospital, AP-HP, University of Versailles-Saint-Quentin-en-Yvelines, Graces, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yelnik</LastName><ForeName>Alain</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>PRM Department, St-Louis-Lariboisière, F. Widal University Hospital, Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>10</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Ann Phys Rehabil Med</MedlineTA><NlmUniqueID>101502773</NlmUniqueID><ISSNLinking>1877-0657</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D015670" MajorTopicYN="N">Acupuncture Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001930" MajorTopicYN="N">Brain Injuries</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004599" MajorTopicYN="N">Electric Stimulation Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019317" MajorTopicYN="N">Evidence-Based Medicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000074059" MajorTopicYN="N">Extracorporeal Shockwave Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009103" MajorTopicYN="N">Multiple Sclerosis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009128" MajorTopicYN="N">Muscle Spasticity</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013119" MajorTopicYN="N">Spinal Cord Injuries</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Disability</Keyword><Keyword MajorTopicYN="N">Impairment</Keyword><Keyword MajorTopicYN="N">Non-pharmacological intervention</Keyword><Keyword MajorTopicYN="N">Participation</Keyword><Keyword MajorTopicYN="N">Rehabilitation</Keyword><Keyword MajorTopicYN="N">Spasticity</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>08</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>10</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>10</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>10</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>1</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>10</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29042299</ArticleId><ArticleId IdType="pii">S1877-0657(17)30415-3</ArticleId><ArticleId IdType="doi">10.1016/j.rehab.2017.10.001</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Victoria (État)</li><li>Île-de-France</li></region><settlement><li>Melbourne</li><li>Paris</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="Australie"><region name="Victoria (État)"><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></region><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></country><country name="France"><noRegion><name sortKey="Bensmail, Djamel" sort="Bensmail, Djamel" uniqKey="Bensmail D" first="Djamel" last="Bensmail">Djamel Bensmail</name></noRegion><name sortKey="Yelnik, Alain" sort="Yelnik, Alain" uniqKey="Yelnik A" first="Alain" last="Yelnik">Alain Yelnik</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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