Summary of the best evidence for spasticity management in patients with spinal cord injury
10.3760/cma.j.115682-20230406-01332
- VernacularTitle:脊髓损伤患者痉挛管理的最佳证据总结
- Author:
Peipei DING
1
;
Lunlan LI
;
Hui HUANG
;
Haowei YUAN
;
Linsheng FENG
;
Yujing CAI
Author Information
1. 安徽医科大学护理学院,合肥 230022
- Keywords:
Spinal cord injury;
Spasticity;
Best evidence;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(36):4925-4931
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for spasticity management in spinal cord injury patients, so as to provide references for clinical practice.Methods:PubMed, Embase, CLINICAL, BMJ Best Clinical Practice website, JBI Evidence-based Health Care Center database, National Institute for Health and Clinical Excellence, Ontario Guidelines Network, US National Guidelines Network, Scottish Interhospital Guidelines Network, UpToDate, Cochrane Library, CNKI, Wanfang Database, Medlive, China Biology Medicine disc and professional association websites were syatematically searched for clinical decisions, guidelines, evidence summary, systematic reviews and expert consensus or opinions on spasm management. The quality of the included studies was evaluated and the evidence content was extracted. The search period was from the establishment of the databases to February 28, 2023.Results:A total of 15 articles were included, including 2 clinical decision-making articles, 1 guideline, 3 expert consensus or opinions articles and 9 systematic evaluations. A total of 18 pieces of evidence were summarized from 4 aspects, such as regular evaluation, intervention measures, intervention principles, and effectiveness evaluation of patients with spinal cord injury.Conclusions:This study summarizes the best evidence for spasticity management in patients with spinal cord injury and provides an evidence-based basis for clinical work. It is recommended that when applying the evidence, an individualized spasticity treatment plan should be developed according to the needs of the patient and the actual clinical situation.