Breakthroughs in the spasticity management: Are non-pharmacological treatments the future?

The present paper aims at providing an objective narrative review of the existing non-pharmacological treatments for spasticity. Whereas pharmacologic and conventional physiotherapy approaches result well effective in managing spasticity due to stroke, multiple sclerosis, traumatic brain injury, cerebral palsy and incomplete spinal cord injury, the real usefulness of the non-pharmacological ones is still debated.

The authors performed a narrative literature review of the contribution of non-pharmacological treatments to spasticity management, focusing on the role of non-invasive neurostimulation protocols (NINM). Spasticity therapeutic options available to the physicians include various pharmacological and non-pharmacological approaches (including NINM and vibration therapy), aimed at achieving functional goals for patients and their caregivers.

A successful treatment of spasticity depends on a clear comprehension of the underlying pathophysiology, the natural history, and the impact on patient’s performances. Even though further studies aimed at validating non-pharmacological treatments for spasticity should be fostered, there is growing evidence supporting the usefulness of non-pharmacologic approaches in significantly helping conventional treatments (physiotherapy and drugs) to reduce spasticity and improving patient’s quality of life. Hence, non-pharmacological treatments should be considered as a crucial part of an effective management of spasticity.

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Comments

Joy Marcinkowski

I have found that the Bowen Technique helps ease and manage spasticity. A couple of years ago I started seeing a 9 year old girl with Cerebral Palsy who suffered with spasticity. After her first session her calves were noticeably softer, each subsequent session she gained greater extension in her legs and better dexterity in the hands. Within 10 sessions, she had a 60% improvement in leg extension! Her cognitive abilities improved as well (she was born with brain damage which causes poor neuron connections, can’t recall the technical name). We were very impressed with her progress!

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