Stretching is not essential for managing MS spasticity: A randomized controlled trial.

Hugos, CL ; Joos, SK ; et al.

In: Multiple sclerosis (Houndmills, Basingstoke, England), Jg. 30 (2024), Heft 1, S. 89-102

academicJournal

Background: Clinical practice, expert opinion, and evidence-based guidelines recommend daily stretching as first-line treatment for multiple sclerosis (MS) spasticity, but this has not been evaluated by fully powered clinical trials.

Objective: To determine whether MS Spasticity: Take Control (STC), a guideline-based program of spasticity education and stretching exercises has different effects on the impact of spasticity than a control program of different spasticity education and range of motion (ROM) exercises.

Methods: Ambulatory people with self-reported MS spasticity were randomly assigned to STC or ROM, delivered in same duration, facilitator-led, group classes, face-to-face (F2F) initially and later virtually, due to coronavirus disease 2019 (COVID-19). Multiple Sclerosis Spasticity Scale (MSSS) scores were compared between groups at 1 (primary outcome) and 6 months after interventions.

Results: A total of 231 people enrolled. There was no significant difference in MSSS scores between STC and ROM at 1 month (mean difference = 0.28, 95% (confidence interval (CI)) = [-9.45 to 10.01], p = 0.955). There were significant group mean improvements in MSSS scores and most other outcomes at 1 and 6 months.

Conclusion: Education with stretching exercises, the first-line recommended treatment for MS spasticity, and education with ROM exercises may both improve MS spasticity to a similar degree. This study debunks the belief that stretching is essential to managing MS spasticity.

Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Titel:	Stretching is not essential for managing MS spasticity: A randomized controlled trial.
Autor/in / Beteiligte Person:	Hugos, CL ; Joos, SK ; Perumean-Chaney, SE ; Cutter, GR ; Cameron, MH
Zeitschrift:	Multiple sclerosis (Houndmills, Basingstoke, England), Jg. 30 (2024), Heft 1, S. 89-102
Veröffentlichung:	2006- : London : SAGE Publications ; <i>Original Publication</i>: Houndmills, Basingstoke, Hampshire, UK : Stockton Press, c1995-, 2024
Medientyp:	academicJournal
ISSN:	1477-0970 (electronic)
DOI:	10.1177/13524585231215960
Schlagwort:	Humans Exercise Therapy Self Report Muscle Spasticity etiology Muscle Spasticity therapy Multiple Sclerosis complications Multiple Sclerosis therapy
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Randomized Controlled Trial; Journal Article Language: English [Mult Scler] 2024 Jan; Vol. 30 (1), pp. 89-102. <i>Date of Electronic Publication: </i>2023 Dec 23. MeSH Terms: Muscle Spasticity* / etiology ; Muscle Spasticity* / therapy ; Multiple Sclerosis* / complications ; Multiple Sclerosis* / therapy ; Humans ; Exercise Therapy ; Self Report Contributed Indexing: Keywords: Spasticity; exercise; rehabilitation; stretching; symptom management Entry Date(s): Date Created: 20231223 Date Completed: 20240111 Latest Revision: 20240111 Update Code: 20240111

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