Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review
This article aims to provide a concise overview of the best available evidence for managing post-stroke spasticity. A modified scoping review, conducted following the PRISMA guidelines and the PRISMA Extension for Scoping Reviews (PRISMA-ScR), involved an intensive search on Medline and PubMed from...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Toxins |
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| Online Access: | https://www.mdpi.com/2072-6651/16/2/98 |
| _version_ | 1797296879128543232 |
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| author | Areerat Suputtitada Supattana Chatromyen Carl P. C. Chen David M. Simpson |
| author_facet | Areerat Suputtitada Supattana Chatromyen Carl P. C. Chen David M. Simpson |
| author_sort | Areerat Suputtitada |
| collection | DOAJ |
| description | This article aims to provide a concise overview of the best available evidence for managing post-stroke spasticity. A modified scoping review, conducted following the PRISMA guidelines and the PRISMA Extension for Scoping Reviews (PRISMA-ScR), involved an intensive search on Medline and PubMed from 1 January 2000 to 31 August 2023. The focus was placed on high-quality (GRADE A) medical, rehabilitation, and surgical interventions. In total, 32 treatments for post-stroke spasticity were identified. Two independent reviewers rigorously assessed studies, extracting data, and evaluating bias using GRADE criteria. Only interventions with GRADE A evidence were considered. The data included the study type, number of trials, participant characteristics, interventions, parameters, controls, outcomes, and limitations. The results revealed eleven treatments supported by GRADE A evidence, comprising 14 studies. Thirteen were systematic reviews and meta-analyses, and one was randomized control trial. The GRADE A treatments included stretching exercises, static stretching with positional orthosis, transcutaneous electrical nerve stimulation, extracorporeal shock wave therapy, peripheral magnetic stimulation, non-invasive brain stimulation, botulinum toxin A injection, dry needling, intrathecal baclofen, whole body vibration, and localized muscle vibration. In conclusion, this modified scoping review highlights the multimodal treatments supported by GRADE A evidence as being effective for improving functional recovery and quality of life in post-stroke spasticity. Further research and exploration of new therapeutic options are encouraged. |
| first_indexed | 2024-03-07T22:12:09Z |
| format | Article |
| id | doaj.art-8523b54838454d108ccd2c1572386292 |
| institution | Directory Open Access Journal |
| issn | 2072-6651 |
| language | English |
| last_indexed | 2024-03-07T22:12:09Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Toxins |
| spelling | doaj.art-8523b54838454d108ccd2c15723862922024-02-23T15:36:35ZengMDPI AGToxins2072-66512024-02-011629810.3390/toxins16020098Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping ReviewAreerat Suputtitada0Supattana Chatromyen1Carl P. C. Chen2David M. Simpson3Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Rama 4 Road, Patumwan, Bangkok 10330, ThailandNeurological Institute of Thailand, Department of Medical Services, Ministry of Public Health, Bangkok 10400, ThailandDepartment of Physical Medicine & Rehabilitation, Chang Gung Memorial Hospital at Linkou, College of Medicine, Chang Gung University, Guishan District, Taoyuan City 33343, TaiwanDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York City, NY 10029, USAThis article aims to provide a concise overview of the best available evidence for managing post-stroke spasticity. A modified scoping review, conducted following the PRISMA guidelines and the PRISMA Extension for Scoping Reviews (PRISMA-ScR), involved an intensive search on Medline and PubMed from 1 January 2000 to 31 August 2023. The focus was placed on high-quality (GRADE A) medical, rehabilitation, and surgical interventions. In total, 32 treatments for post-stroke spasticity were identified. Two independent reviewers rigorously assessed studies, extracting data, and evaluating bias using GRADE criteria. Only interventions with GRADE A evidence were considered. The data included the study type, number of trials, participant characteristics, interventions, parameters, controls, outcomes, and limitations. The results revealed eleven treatments supported by GRADE A evidence, comprising 14 studies. Thirteen were systematic reviews and meta-analyses, and one was randomized control trial. The GRADE A treatments included stretching exercises, static stretching with positional orthosis, transcutaneous electrical nerve stimulation, extracorporeal shock wave therapy, peripheral magnetic stimulation, non-invasive brain stimulation, botulinum toxin A injection, dry needling, intrathecal baclofen, whole body vibration, and localized muscle vibration. In conclusion, this modified scoping review highlights the multimodal treatments supported by GRADE A evidence as being effective for improving functional recovery and quality of life in post-stroke spasticity. Further research and exploration of new therapeutic options are encouraged.https://www.mdpi.com/2072-6651/16/2/98post-stroke spasticitybest evidenceGRADE Aa modified scoping reviewmultimodality treatments |
| spellingShingle | Areerat Suputtitada Supattana Chatromyen Carl P. C. Chen David M. Simpson Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review Toxins post-stroke spasticity best evidence GRADE A a modified scoping review multimodality treatments |
| title | Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review |
| title_full | Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review |
| title_fullStr | Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review |
| title_full_unstemmed | Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review |
| title_short | Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review |
| title_sort | best practice guidelines for the management of patients with post stroke spasticity a modified scoping review |
| topic | post-stroke spasticity best evidence GRADE A a modified scoping review multimodality treatments |
| url | https://www.mdpi.com/2072-6651/16/2/98 |
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