Home Blog Archive Non-pharmacological interventions for spasticity in multiple mens health sclerosis.
BACKGROUND: mens health Spasticity is commonly experienced by people mens health with multiple sclerosis (MS), and contributes to disability in general this població.Una wide variety of non-pharmacological interventions used singly or pharmacological agents for the treatment of spasticity in MS. evidence of its effectiveness has not yet been determined.
OBJECTIVES: To evaluate the effectiveness mens health of non-pharmacological interventions for the treatment of spasticity in adults with multiple sclerosis. SEARCH STRATEGY: A literature search was conducted through mens health the Specialized Register of the Cochrane Multiple Sclerosis mens health and Rare Diseases mens health Review Group of the Central Nervous System using the Cochrane MS Group trials, among other sources, contains CENTRAL, MEDLINE, EMBASE, CINAHL, LILACS, Stone, June 2012.Búsqueda mens health manually detect pertinent journals mens health and reference lists of identified studies and reviews were carried out. Also reviewed abstracts published in conference proceedings.
Selection criteria: Randomised controlled trials (RCTs) reported no drug treatment / s for the treatment of spasticity in adults mens health with multiple sclerosis and compared them with some type of control intervention (such as sham / placebo interventions or less than, or different types of intervention minimal intervention, waiting list controls or no treatment, interventions given in different contexts), were included.
Data collection and analysis: Three reviewers mens health independently selected studies, extracted data and assessed methodological quality using the degrees of Recommendation Assessment Tool, Development and Evaluation (GRADE) for synthesis the best evidence. A meta-analysis was not possible due to methodological heterogeneity, clinical and statistical studies included.
Main results: Nine RCTs (N = 341 participants, 301 included in the analysis) investigated various types and intensities of non-pharmacological interventions for the treatment of spasticity in adults with multiple sclerosis. These interventions include: physical activity programs (eg physiotherapy, exercise program structured climbing), transcranial magnetic stimulation mens health (Intermittent Theta Burst Stimulation (ITB), repetitive transcranial magnetic mens health stimulation (rTMS)) electromagnetic therapy (pulsed electromagnetic therapy, magnetic pulse device), transcutaneous electrical nerve stimulation (TENS), and whole body vibration (VCE). All studies were rated as "low" in the assessment of methodological quality that carries a high risk of bias. There is evidence of "low level" of physical activity programs used in isolation or in combination with other interventions mens health (pharmacological or non-pharmacological), and repetitive mens health magnetic stimulation (ITB / rTMS) with or without adjuvant therapy exercise improving spasticity in adults with multiple sclerosis. No evidence of benefit exists to support the use of TENS, climbing and vibration therapy for the treatment of spasticity in this population.
"Authors 'conclusions There is no' evidence of low level" of non-pharmacological interventions such as physical activity determined in conjunction with other interventions and for magnetic stimulation mens health and electromagnetic therapy mens health beneficial effects on the results of the spasticity in patients with multiple sclerosis. A wide variety of non-pharmacological interventions used to treat spasticity in MS, but more trials are needed to build solid evidence on these interventions. PMID 23450612 [PubMed - Medline]
HOME Catalan Association of People Affected by Multiple Sclerosis C / Leiva, 39 Bajos 08014 Barcelona - TEL.934 249,567 - lallar@lallar.org mens health Disclaimer - All rights reserved - Web design and webmaster www.VARGASCOMUNICACIO.com
BACKGROUND: mens health Spasticity is commonly experienced by people mens health with multiple sclerosis (MS), and contributes to disability in general this població.Una wide variety of non-pharmacological interventions used singly or pharmacological agents for the treatment of spasticity in MS. evidence of its effectiveness has not yet been determined.
OBJECTIVES: To evaluate the effectiveness mens health of non-pharmacological interventions for the treatment of spasticity in adults with multiple sclerosis. SEARCH STRATEGY: A literature search was conducted through mens health the Specialized Register of the Cochrane Multiple Sclerosis mens health and Rare Diseases mens health Review Group of the Central Nervous System using the Cochrane MS Group trials, among other sources, contains CENTRAL, MEDLINE, EMBASE, CINAHL, LILACS, Stone, June 2012.Búsqueda mens health manually detect pertinent journals mens health and reference lists of identified studies and reviews were carried out. Also reviewed abstracts published in conference proceedings.
Selection criteria: Randomised controlled trials (RCTs) reported no drug treatment / s for the treatment of spasticity in adults mens health with multiple sclerosis and compared them with some type of control intervention (such as sham / placebo interventions or less than, or different types of intervention minimal intervention, waiting list controls or no treatment, interventions given in different contexts), were included.
Data collection and analysis: Three reviewers mens health independently selected studies, extracted data and assessed methodological quality using the degrees of Recommendation Assessment Tool, Development and Evaluation (GRADE) for synthesis the best evidence. A meta-analysis was not possible due to methodological heterogeneity, clinical and statistical studies included.
Main results: Nine RCTs (N = 341 participants, 301 included in the analysis) investigated various types and intensities of non-pharmacological interventions for the treatment of spasticity in adults with multiple sclerosis. These interventions include: physical activity programs (eg physiotherapy, exercise program structured climbing), transcranial magnetic stimulation mens health (Intermittent Theta Burst Stimulation (ITB), repetitive transcranial magnetic mens health stimulation (rTMS)) electromagnetic therapy (pulsed electromagnetic therapy, magnetic pulse device), transcutaneous electrical nerve stimulation (TENS), and whole body vibration (VCE). All studies were rated as "low" in the assessment of methodological quality that carries a high risk of bias. There is evidence of "low level" of physical activity programs used in isolation or in combination with other interventions mens health (pharmacological or non-pharmacological), and repetitive mens health magnetic stimulation (ITB / rTMS) with or without adjuvant therapy exercise improving spasticity in adults with multiple sclerosis. No evidence of benefit exists to support the use of TENS, climbing and vibration therapy for the treatment of spasticity in this population.
"Authors 'conclusions There is no' evidence of low level" of non-pharmacological interventions such as physical activity determined in conjunction with other interventions and for magnetic stimulation mens health and electromagnetic therapy mens health beneficial effects on the results of the spasticity in patients with multiple sclerosis. A wide variety of non-pharmacological interventions used to treat spasticity in MS, but more trials are needed to build solid evidence on these interventions. PMID 23450612 [PubMed - Medline]
HOME Catalan Association of People Affected by Multiple Sclerosis C / Leiva, 39 Bajos 08014 Barcelona - TEL.934 249,567 - lallar@lallar.org mens health Disclaimer - All rights reserved - Web design and webmaster www.VARGASCOMUNICACIO.com
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