[Non-medicinal treatments of spasticity in multiple sclerosis].
Non-medicinal treatments of spasticity may be proposed in patients with multiple sclerosis as either an adjunct to pharmacological treatments or the first line of treatment. Assessment of non-medicinal treatments, whether manual, surgical or with instrumentation, shows it to be beneficial for limb spasticity. Studies also reveal that, contrary to expectations, physical exercise does not increase spasticity. This means that physical exercise may be prioritized and that sports practice should not be forbidden, provided that the patient has an adequate neurological status and takes sufficient breaks to avoid fatigue.
Médecine Physique et de Réadaptation, Hôpital des Gardiens de la Paix, 35 Boulevard Saint-Marcel, 75013 Paris, France. laurence.mailhan@fondation-hgp.asso.fr
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D000203:Activities of Daily Living; D017679:Cryotherapy; D005081:Exercise Therapy; D005221:Fatigue / Q000517:prevention & control; D020233:Gait Disorders, Neurologic / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation; D006801:Humans; D008866:Microsurgery; D009103:Multiple Sclerosis / Q000150:complications / Q000534:rehabilitation / Q000628:therapy*; D009121:Muscle Denervation; D009128:Muscle Spasticity / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery / Q000628:therapy*; D019635:Neurosurgical Procedures; D026741:Physical Therapy Modalities; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D012021:Reflex, Abnormal; D019051:Rhizotomy / Q000379:methods; D012720:Severity of Illness Index; D013035:Spasm / Q000209:etiology / Q000601:surgery; D050781:Transcranial Magnetic Stimulation; D004561:Transcutaneous Electric Nerve Stimulation; D014732:Vibration / Q000627:therapeutic use; D015013:Yoga