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Title: | The effectiveness of therapy on outcome following (BoNT-A) injection for focal spasticity in adults with neurological conditions: A systematic review. |
Epworth Authors: | Moore, Elizabeth Olver, John Williams, Gavin Banky, Megan |
Other Authors: | Bryant, Adam |
Keywords: | Functional Status Rehabilitation Stroke Botulinum Neurotoxin BoNT-A Focal Spasticity Adjunctive Therapies Physiotherapy Department, Epworth Healthcare, Melbourne, Australia Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia |
Issue Date: | Mar-2015 |
Publisher: | Taylor & Francis |
Citation: | Brain Inj. 2015;29(6):676-87 |
Abstract: | Objective: To determine the independent effectiveness of adjunctive therapies when provided in conjunction with botulinum neurotoxin (BoNT-A) injection for focal spasticity in adults with neurological conditions. Data sources: Nine electronic databases. Study selection: A systematic search was performed to identify randomized, controlled trials (RCTs) evaluating the benefit of adjunctive therapies following BoNT-A injection. Data extraction/synthesis: Two authors extracted the data independently. Each trial was assessed for internal validity and rated for quality using the PEDro scale. Articles were further appraised using the American Academy of Neurology (AAN) evidence classification to construct concise clinical recommendations. Results: The search identified 12 studies that reported on the effects of eight different adjunctive therapies following BoNT-A injection in adults with focal spasticity. No high level evidence was identified. The mean PEDro score for the 12 studies was 5.6 (SD = 1.6) and the clinical recommendations provided were Grade U, indicating the effectiveness of the adjunctive therapies was unknown or unproven. Conclusion: There was insufficient evidence to support or refute the effectiveness of any of the commonly prescribed adjunctive therapies following BoNT-A injection for focal spasticity in adults. |
URI: | http://hdl.handle.net/11434/255 |
DOI: | 10.3109/02699052.2015.1004749 |
PubMed URL: | http://www.ncbi.nlm.nih.gov/pubmed/25826639 |
ISSN: | 0269-9052 1362-301X |
Journal Title: | Brain Injury |
Type: | Journal Article |
Affiliated Organisations: | Physiotherapy Department, The University of Melbourne, Melbourne Rehabilitation Medicine, Monash University, Richmond, Australia Physiotherapy Department, Latrobe University, Bundoora Australia |
Type of Clinical Study or Trial: | Reviews/Systematic Reviews |
Appears in Collections: | Neurosciences Rehabilitation |
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