Article

The aims of this study were to systematically identify and summarize
the literature examining the impact of physiologic and psychologic triggers on
spasticity and discuss the evidence supporting various types of triggers. DESIGN:
PubMed, EMBASE, CINAHL, and PEDro databases were searched using specific keyword
combinations. Only studies using clinical tests or self-reports of spasticity
were included. RESULTS: A total of 1152 articles were scanned for relevance, and
of 44 relevant articles, 24 were reviewed. Pregnancy, posture, cold, circadian
rhythm, and skin conditions increased spasticity and were measured using
objective clinical tests. Self-reports of spasticity suggest that triggers such
as bowel- and bladder-related issues, menstrual cycle, mental stress, and tight
clothing can all increase spasticity. No literature evidence of increase in
spasticity in response to heterotopic ossification, hemorrhoids, deep vein
thrombosis, fever, and sleep patterns was found. CONCLUSIONS: Although
self-reports indicate a strong possibility of increasing spasticity, without
objective examination, the true effects of these triggers on spasticity remain
inconclusive. Most studies reviewed here were performed in the spinal cord injury
population; therefore, it is not known whether these triggers induce similar
effects in persons with other neurologic etiologies.

Langue : ANGLAIS