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

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 e...

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Autores principales:	Laura Gomez-Cuaresma, David Lucena-Anton, Gloria Gonzalez-Medina, Francisco Javier Martin-Vega, Alejandro Galan-Mercant, Carlos Luque-Moreno
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	stroke muscle spasticity muscle stretching exercises activities of daily living Medicine R
Acceso en línea:	https://doaj.org/article/5c03d17d2dea4923a896d88452cb79d4
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spelling	oai:doaj.org-article:5c03d17d2dea4923a896d88452cb79d42021-11-25T18:06:54ZEffectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis10.3390/jpm111110742075-4426https://doaj.org/article/5c03d17d2dea4923a896d88452cb79d42021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1074https://doaj.org/toc/2075-4426Spasticity 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.Laura Gomez-CuaresmaDavid Lucena-AntonGloria Gonzalez-MedinaFrancisco Javier Martin-VegaAlejandro Galan-MercantCarlos Luque-MorenoMDPI AGarticlestrokemuscle spasticitymuscle stretching exercisesactivities of daily livingMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1074, p 1074 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	stroke muscle spasticity muscle stretching exercises activities of daily living Medicine R
spellingShingle	stroke muscle spasticity muscle stretching exercises activities of daily living Medicine R Laura Gomez-Cuaresma David Lucena-Anton Gloria Gonzalez-Medina Francisco Javier Martin-Vega Alejandro Galan-Mercant Carlos Luque-Moreno Effectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis
description	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.
format	article
author	Laura Gomez-Cuaresma David Lucena-Anton Gloria Gonzalez-Medina Francisco Javier Martin-Vega Alejandro Galan-Mercant Carlos Luque-Moreno
author_facet	Laura Gomez-Cuaresma David Lucena-Anton Gloria Gonzalez-Medina Francisco Javier Martin-Vega Alejandro Galan-Mercant Carlos Luque-Moreno
author_sort	Laura Gomez-Cuaresma
title	Effectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis
title_short	Effectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis
title_full	Effectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis
title_fullStr	Effectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis
title_full_unstemmed	Effectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis
title_sort	effectiveness of stretching in post-stroke spasticity and range of motion: systematic review and meta-analysis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5c03d17d2dea4923a896d88452cb79d4
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Effectiveness of Stretching in Post-Stroke Spasticity and Range of Motion: Systematic Review and Meta-Analysis

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