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논문 기본 정보

자료유형
학술저널
저자정보
Park Ki Deok (Department of Rehabilitation Medicine, Gil Medical Center, Gachon University, Incheon, Korea.) Song Min-Keun (Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School and Hospital, Gwangju, Korea)
저널정보
대한뇌신경재활학회 뇌신경재활 Brain & NeuroRehabilitation Vol.17 No.1
발행연도
2024.4
수록면
1 - 14 (14page)
DOI
10.12786/bn.2024.17.e3

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초록· 키워드

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Although intrathecal baclofen injections have been used for spasticity management regarding stroke, spinal cord injur y, and central ner vous system diseases, their relative efficacy is controversial. This systematic review scoured 3 multinational electronic databases (Cochrane Librar y, MEDLINE, and Embase) to isolate relevant studies. We analyzed non-randomized studies and randomized control trials (RCTs) with direct comparisons against other spasticity management inter ventions for adult stroke patients. Risk of Bias (RoB) and the Risk of Bias Assessment tool for Non-randomized Studies evaluations were implemented with Cochrane’s RoB tool. Meta-analysis was performed with Revman 5.4, and evidence validity was assessed with the Grading of Recommendations, Assessment, Development, and Evaluations method. Lastly, the intrathecal baclofen injection meta-analysis included 2 RCTs and 7 non-RCTs for assessing spasticity and 4 non-RCTs to measure gait velocity. Based on this data, intrathecal baclofen injection significantly impacted spasticity and gait speed. Thus, intrathecal baclofen injection can potentially treat severe spasticity unresponsive to conventional spasticity therapy. Furthermore, clinicians must consider individual patient characteristics and conditions when contemplating intrathecal baclofen injection for spasticity inter vention

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