Your browser doesn't support javascript.
loading
Stretching is not essential for managing MS spasticity: A randomized controlled trial.
Hugos, Cinda L; Joos, Sandra K; Perumean-Chaney, Suzanne E; Cutter, Gary R; Cameron, Michelle H.
Afiliação
  • Hugos CL; VA Portland Health Care System and Department of Neurology, Oregon Health & Science University, Portland, OR, USA.
  • Joos SK; VA Portland Health Care System, Portland, OR, USA.
  • Perumean-Chaney SE; Biostatistics, University of Alabama, Birmingham, AL, USA.
  • Cutter GR; Biostatistics, University of Alabama, Birmingham, AL, USA.
  • Cameron MH; VA Portland Health Care System and Department of Neurology, Oregon Health & Science University, Portland, OR, USA.
Mult Scler ; 30(1): 89-102, 2024 Jan.
Article em En | MEDLINE | ID: mdl-38140847
ABSTRACT

BACKGROUND:

Clinical practice, expert opinion, and evidence-based guidelines recommend daily stretching as first-line treatment for multiple sclerosis (MS) spasticity, but this has not been evaluated by fully powered clinical trials.

OBJECTIVE:

To determine whether MS Spasticity Take Control (STC), a guideline-based program of spasticity education and stretching exercises has different effects on the impact of spasticity than a control program of different spasticity education and range of motion (ROM) exercises.

METHODS:

Ambulatory people with self-reported MS spasticity were randomly assigned to STC or ROM, delivered in same duration, facilitator-led, group classes, face-to-face (F2F) initially and later virtually, due to coronavirus disease 2019 (COVID-19). Multiple Sclerosis Spasticity Scale (MSSS) scores were compared between groups at 1 (primary outcome) and 6 months after interventions.

RESULTS:

A total of 231 people enrolled. There was no significant difference in MSSS scores between STC and ROM at 1 month (mean difference = 0.28, 95% (confidence interval (CI)) = [-9.45 to 10.01], p = 0.955). There were significant group mean improvements in MSSS scores and most other outcomes at 1 and 6 months.

CONCLUSION:

Education with stretching exercises, the first-line recommended treatment for MS spasticity, and education with ROM exercises may both improve MS spasticity to a similar degree. This study debunks the belief that stretching is essential to managing MS spasticity.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esclerose Múltipla / Espasticidade Muscular Limite: Humans Idioma: En Revista: Mult Scler Assunto da revista: NEUROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esclerose Múltipla / Espasticidade Muscular Limite: Humans Idioma: En Revista: Mult Scler Assunto da revista: NEUROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos