1. Effectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis
- Author
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Gomez-Cuaresma, Laura, Lucena-Anton, David, Gonzalez-Medina, Gloria, Martin-Vega, Francisco Javier, Galan-Mercant, Alejandro, Luque-Moreno, Carlos, [Gomez-Cuaresma,L, Lucena-Anton,D, Gonzalez-Medina,G, Martin-Vega,FJ, Galan-Mercant,A, Galan-Mercant,A] Department of Nursing and Physiotherapy, University of Cádiz, Cádiz, Spain. [Lucena-Anton,D] Intell-SOK (TIC-256) Research Group, Department of Informatics Engineering, University of Cádiz, Cádiz, Spain. [Gonzalez-Medina,G] Investigation Group CTS-986, Physical Therapy and Health (FISA), University Institute of Research in Social Sustainable Development (INDESS), University of Cádiz, Cádiz, Spain. [Galan-Mercant,A] MOVE-IT Research Group, Department of Physical Education, Faculty of Education, Sciences University of Cádiz, Cádiz, Spain. [Galan-Mercant,A] Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, Cádiz, Spain. [Luque-Moreno,C] Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain., and This research and the APC was partial funded by the Erasmus+ Strategic Partnership for Higher Education Program (Key Action 203), grant number 2018-1-PL01-KA203-051055.
- Subjects
Ejercicios de estiramiento muscular ,Revisión sistemática ,Activities of daily living ,Espasticidad muscular ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Range of Motion, Articular [Medical Subject Headings] ,Information Science::Information Science::Information Storage and Retrieval::Databases as Topic::Databases, Bibliographic [Medical Subject Headings] ,Muscle stretching exercises ,Accidente cerebrovascular ,Stroke ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,Diseases::Musculoskeletal Diseases::Muscular Diseases::Muscle Spasticity [Medical Subject Headings] ,Information Science::Information Science::Communications Media::Publications::Bibliography as Topic::Bibliometrics [Medical Subject Headings] ,Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Musculoskeletal Physiological Processes::Physical Exertion [Medical Subject Headings] ,Actividades de la vida diaria ,Bases de datos bibliográficas ,Diseases::Cardiovascular Diseases::Vascular Diseases::Cerebrovascular Disorders::Stroke [Medical Subject Headings] ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Physical Therapy Modalities::Exercise Therapy::Muscle Stretching Exercises [Medical Subject Headings] ,Muscle spasticity ,Metaanálisis - Abstract
Spasticity is one of the most frequent and disabling clinical manifestations of patients with stroke. In clinical practice, stretching is the most widely used physiotherapeutic intervention for this population. However, there is no solid evidence for its effectiveness. The aim of this study was to evaluate the effectiveness of different types of stretching in reducing post-stroke spasticity. Research was carried out until March 2021 in the following scientific databases: PubMed, CINAHL, Scopus, Cochrane Library, Web of Science, and PEDro. The PEDro scale and the Cochrane collaboration tool were used to assess the methodological quality and risk of bias of the studies. Eight articles were selected for qualitative analysis; six of them contributed information to the meta-analysis. No conclusive evidence was obtained on the effectiveness of stretching in terms of treating spasticity and range of motion in patients with stroke. Further research is necessary in order to determine the effectiveness of the use of stretching in this population, considering the different types of stretching (static and dynamic), the time of application, the measurement of the different components of spasticity, and the extrapolation of functional results. Yes
- Published
- 2021