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Effectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis

Authors :
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.
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.
Publication Year :
2021
Publisher :
MDPI, 2021.

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

Details

Language :
English
Database :
OpenAIRE
Accession number :
edsair.od......2636..7784d43712c273af7ea654a59eae9848