Non pharmacological rehabilitation interventions might improve spasticity in adults with Spinal Cord Injury

Aim. To investigate the effectiveness of non-pharmacological rehabilitation interventions on spasticity in adults with spinal cord injury. Methods Systematic Review of Ranzomized Controlled Trials (RCTs) Six databases were searched on July 29th, 2019 RCTs addressing effectiveness of non-pharmacological and non-surgical rehabilitation interventions for spasticity in adults with traumatic or nontraumatic spinal cord injury; • Methodological quality assessed with Cochrane “Risk of Bias Tool" (RoB) • PROSPERO registration number: CRD42020155747. Conclusions. Transcutaneous electrical nerve stimulation, whole-body vibration and continuous passive motion might improve spasticity in adults with SCI. But because of heterogeneity of interventions and outcome measures, no definitive conclusion can be drawn. Further primary studies are needed to improve the quality of RCTs on the topic.