Surgical interventions in adult upper limb spasticity management: a systematic review

Jarratt-Barnham, Isaac; Alahmadi, Shahad Fahad; Spillane, B.; Pick, Anton; Lamyman, Michael

doi:10.1016/j.hansur.2022.04.006

Cited by 4 publications

(2 citation statements)

References 37 publications

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“…It may be more accessible in countries that cannot afford botulinum toxins, yet inaccessible in many developed economies. This paper summarized the literature and serves as a review to launch more structured outcome based studies (2). The future quality of evidences should be encourage as high rank as randomized trials without serious limitations, well-performed observational studies with vary large effects (or other qualifying factors), or even moderate rank as randomized trials with serious limitations, well-performed observational studies yielding large effects (3).…”

Section: Highlights Of the 6 Articles Published In This Research Topi...mentioning

confidence: 99%

Editorial: Emerging concepts and evidence in novel approaches for spasticity management

Suputtitada,

Avellanet,

Winston

2023

Front. Rehabil. Sci.

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Section: Highlights Of the 6 Articles Published In This Research Topi...mentioning

confidence: 99%

Editorial: Emerging concepts and evidence in novel approaches for spasticity management

Suputtitada,

Avellanet,

Winston

2023

Front. Rehabil. Sci.

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“…Several spasticity-reducing surgical procedures, which include tenodesis, tendon lengthening, and/or transfer and release of tendon/muscle, may be applied to selected cases of focal spasticity, but evidence supporting their efficacy in spasticity is poor [79 ▪ ], and selection criteria to indicate which patients could benefit lack [80].…”

Section: Treatment Of Spasticitymentioning

confidence: 99%

Spasticity following brain and spinal cord injury: assessment and treatment

Tamburin

Filippetti

Mantovani

et al. 2022

Current Opinion in Neurology

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Purpose of reviewSpasticity is a common sequela of brain and spinal cord injury and contributes to disability, reduces quality of life, and increases economic burden. Spasticity is still incompletely recognized and undertreated. We will provide an overview of recent published data on the definition, assessment, and prediction, therapeutic advances, with a focus on promising new approaches, and telemedicine applications for spasticity.Recent findingsTwo new definitions of spasticity have been recently proposed, but operational criteria should be developed, and test–retest and inter-rater reliability should be explored. Cannabinoids proved to be effective in spasticity in multiple sclerosis, but evidence in other types of spasticity is lacking. Botulinum neurotoxin injection is the first-line therapy for focal spasticity, and recent literature focused on optimizing its efficacy. Several pharmacological, interventional, and nonpharmacological therapeutic approaches for spasticity have been explored but low-quality evidence impedes solid conclusions on their efficacy. The recent COVID-19 pandemic yielded guidelines/recommendations for the use of telemedicine in spasticity.SummaryDespite the frequency of spasticity, robust diagnostic criteria and reliable assessment scales are required. High-quality studies are needed to support the efficacy of current treatments for spasticity. Future studies should explore telemedicine tools for spasticity assessment and treatment.

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Surgical reconstruction for spasticity and contracture: An underutilised rehabilitative strategy of adult stroke

Chung,

2024

JRSM Open

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Summary Post-stroke spasticity and contracture remain prevalent and pose significant challenges in stroke rehabilitation. While non-surgical management is the mainstay, surgical reconstruction offers a valuable adjunct when conservative measures are exhausted. This clinical review article provides an overview of surgical reconstruction for limb spasticity and contracture following adult stroke, encompassing the rationale and specifics of these interventions. It highlights the underutilization of surgical reconstruction in rehabilitation of adult stroke patients with spasticity and contracture, and the importance of multidisciplinary collaboration including surgeons in stroke rehabilitation to optimize functional outcomes.

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Surgical interventions in adult upper limb spasticity management: a systematic review

Cited by 4 publications

References 37 publications

Editorial: Emerging concepts and evidence in novel approaches for spasticity management

Editorial: Emerging concepts and evidence in novel approaches for spasticity management

Spasticity following brain and spinal cord injury: assessment and treatment

Surgical reconstruction for spasticity and contracture: An underutilised rehabilitative strategy of adult stroke

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