Título :	Physiotherapy interventions for the treatment of spasticity in people with spinal cord injury : a systematic review
Autor :	Barbosa, Paulo Henrique Ferreira de Araujo Glinsky, Joanne V. Martins, Emerson Fachin Harvey, Lisa A.
metadata.dc.identifier.orcid:	https://orcid.org/0000-0003-0306-6868 https://orcid.org/0000-0001-9858-9009 https://orcid.org/0000-0002-4365-0236
metadata.dc.contributor.affiliation:	Universidade de Brasília, Faculdade de Ceilândia, Núcleo de Tecnologia Assistiva, Acessibilidade e Inovação John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, C/- Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia Universidade de Brasília, Faculdade de Ceilândia, Núcleo de Tecnologia Assistiva, Acessibilidade e Inovação John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, C/- Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia
Assunto::	Fisioterapia Coluna vertebral Espasticidade
Fecha de publicación :	9-feb-2021
Editorial :	Springer Nature
Citación :	BARBOSA, Paulo Henrique Ferreira de Araujo et al. Physiotherapy interventions for the treatment of spasticity in people with spinal cord injury: a systematic review. Spinal Cord, v. 59, p. 236–247, 2021. DOI: https://doi.org/10.1038/s41393-020-00610-4.
Abstract:	Study design Systematic review. Objective To determine the effectiveness of physiotherapy interventions for the treatment of spasticity in people with spinal cord injuries. Setting Not applicable. Methods A comprehensive search was undertaken to identify all randomised controlled trials of physiotherapy interventions that included an assessor-reported (objective) or participant-reported (subjective) measure of spasticity. Only trials that provided a physiotherapy intervention on more than one occasion were included. The susceptibility to bias of each trial was rated on the PEDro scale. Data were extracted to derive mean between-group differences (95% CI) for each trial. Results Twenty-eight trials were identified but only 17 provided useable data. Seven trials compared a physiotherapy intervention to no intervention (or a sham intervention) and 10 trials compared one physiotherapy intervention to another physiotherapy intervention. The median (IQR) PEDro score of the 17 trials was 6/10 (6–8). The most commonly used assessor- and participant-reported measures of spasticity were the Ashworth scale and Spinal Cord Injury Spasticity Eva luation Tool, respectively. Only one trial demonstrated a treatment effect. This trial compared continuous passive motion of the ankle to no treatment on the Ashworth scale. The remaining 16 trials were either inconclusive or indicated that the treatment was ineffective for reducing spasticity. Conclusions There is no high-quality evidence to indicate that physiotherapy interventions decrease spasticity but this may reflect a lack of research on the topic. Future trials should focus on participant-reported measures of spasticity that distinguish between the immediate, short-term and long-term effects of any physiotherapy intervention.
metadata.dc.description.unidade:	Faculdade UnB Ceilândia (FCE) Curso de Fisioterapia (FCE-FISIO)
DOI:	https://doi.org/10.1038/s41393-020-00610-4
metadata.dc.relation.publisherversion:	https://www.nature.com/articles/s41393-020-00610-4
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