Protocolo de uso de la tizanidina en la parálisis cerebral infantil

García, R. Palazón; Valdepeñas, A. Benavente; Riaño, O. Arroyo

doi:10.1157/13120053

Cited by 9 publications

(1 citation statement)

References 15 publications

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“…However, the therapeutic effect is achieved only after the application of high doses. Serious adverse effects, especially after abrupt withdrawal, reduce its efficacy and safety in children with DV [64]. Therefore, tizanidine, a muscle relaxant used in many studies as a short-acting muscle relaxant due to spasmolytic action, was used.…”

Section: Muscle Relaxantsmentioning

confidence: 99%

Rehabilitation Protocols for Children with Dysfunctional Voiding

Živković¹,

Stanković²,

Dimitrijević³

et al. 2022

Pelvic Floor Dysfunction - Symptoms, Causes, and Treatment

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Dysfunctional voiding is a functional voiding disorder characterized by an intermittent uroflow rate due to involuntary intermittent contractions of the striated muscle of the external urethral sphincter or pelvic floor muscles (PFMs) during voiding in neurologically normal children. Symptoms include voiding difficulties as well as urgency, voiding frequency and, in some instances, urinary incontinence and/or nocturnal enuresis. Recurrent urinary tract infections, chronic constipation and/or fecal incontinence and vesicoureteral reflux (VUR) contribute to this condition. Urotherapy is the mainstay of the treatment. It starts with education and demystification and simple behavioral modifications. Specific measures include PFM exercises with various forms of biofeedback concentrating at the recognition of PFM function and their relaxation. However, the PFMs are part of the abdominal capsule and they act in coordination with lower abdominal muscles. These muscles need to be relaxed during voiding. Diaphragmatic breathing exercises were introduced to teach children abdominal muscle relaxation. Easy to learn exercises do not require any specific equipment and can be performed at all health care levels. Children from five years of age could benefit from these exercises. In children resistant to standard treatment, botulinum toxin type A application, intermittent catheterization and surgery in children with VUR are recommended.

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Section: Muscle Relaxantsmentioning

confidence: 99%

Rehabilitation Protocols for Children with Dysfunctional Voiding

Živković¹,

Stanković²,

Dimitrijević³

et al. 2022

Pelvic Floor Dysfunction - Symptoms, Causes, and Treatment

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AAPM&R consensus guidance on spasticity assessment and management

Verduzco‐Gutierrez,

Raghavan,

Pruente

et al. 2024

PM&R

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BackgroundThe American Academy of Physical Medicine and Rehabilitation (AAPM&R) conducted a comprehensive review in 2021 to identify opportunities for enhancing the care of adult and pediatric patients with spasticity. A technical expert panel (TEP) was convened to develop consensus‐based practice recommendations aimed at addressing gaps in spasticity care.ObjectiveTo develop consensus‐based practice recommendations to identify and address gaps in spasticity care.MethodsThe Spasticity TEP engaged in a 16‐month virtual meeting process, focusing on formulating search terms, refining research questions, and conducting a structured evidence review. Evidence quality was assessed by the AAPM&R Evidence, Quality and Performance Committee (EQPC), and a modified Delphi process was employed to achieve consensus on recommendation statements and evidence grading. The Strength of Recommendation Taxonomy (SORT) guided the rating of individual studies and the strength of recommendations.ResultsThe TEP approved five recommendations for spasticity management and five best practices for assessment and management, with one recommendation unable to be graded due to evidence limitations. Best practices were defined as widely accepted components of care, while recommendations required structured evidence reviews and grading. The consensus guidance statement represents current best practices and evidence‐based treatment options, intended for use by PM&R physicians caring for patients with spasticity.ConclusionThis consensus guidance provides clinicians with practical recommendations for spasticity assessment and management based on the best available evidence and expert opinion. Clinical judgment should be exercised, and recommendations tailored to individual patient needs, preferences, and risk profiles. The accompanying table summarizes the best practice recommendations for spasticity assessment and management, reflecting principles with little controversy in care delivery.

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Oral Medication Use in Cerebral Palsy

Rice

2017

Cerebral Palsy

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Protocolo de uso de la tizanidina en la parálisis cerebral infantil

Cited by 9 publications

References 15 publications

Rehabilitation Protocols for Children with Dysfunctional Voiding

Rehabilitation Protocols for Children with Dysfunctional Voiding

AAPM&R consensus guidance on spasticity assessment and management

Oral Medication Use in Cerebral Palsy

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