The Efficacy of Spinal Cord Stimulators in the Reduction of Multiple Sclerosis Spasticity: A Narrative Systematic Review.

Autor:	Goodwin BJ; Department of Rehabilitation, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ, USA., Mahmud R; Department of Rehabilitation, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ, USA., TomThundyil S; Department of Rehabilitation, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ, USA., Rivera-Colon G; Department of Rehabilitation, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ, USA., Murray VW; Department of Rehabilitation, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ, USA., O'Donnell K; Department of Rehabilitation, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ, USA.; NeuroMusculoskeletal Institute, Rowan Medicine, Stratford, NJ, USA.
Jazyk:	angličtina
Zdroj:	Brain & NeuroRehabilitation [Brain Neurorehabil] 2023 Jul 19; Vol. 16 (2), pp. e19. Date of Electronic Publication: 2023 Jul 19 (Print Publication: 2023).
DOI:	10.12786/bn.2023.16.e19
Abstrakt:	A systematic review was employed utilizing Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, to analyze all primary clinical data on the efficacy of spinal cord stimulation (SCS) in the treatment of multiple sclerosis (MS) induced spasticity. Databases include: Embase, PubMed, Scopus, Cochrane, and Web of Science. The review included case series, case studies, and clinical trials. Outcomes of interest were spasticity reduction. Grading of Recommendations Assessment, Development and Evaluation criteria was utilized to grade the certainty of evidence. Five hundred thirty-two articles were retrieved following database systematic review. One hundred eighty-eight articles were removed as duplicates utilizing the "Detect Duplicates" function on Rayyan.ai. A further 344 articles were excluded following abstract and title appraisal. As a result, 16 articles were subjected to full text appraisal. The dates of publication ranged from 1973 to 2019. Although a unique modality, there is not enough evidence to support the employment of SCS over current medical standard of care. Further high-quality randomized control trials are required to elucidate SCS's role in MS induced spasticity algorithm. Competing Interests: Conflict of Interest: The authors have no potential conflicts of interest to disclose. (Copyright © 2023. Korean Society for Neurorehabilitation.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu