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Consensus document on spasticity in patients with multiple sclerosis.
MedLine Citation:
PMID:  24081891     Owner:  NLM     Status:  Publisher    
INTRODUCTION. Multiple sclerosis is a chronic neurological inflammatory demyelinating disease. Specialists involved in the symptomatic treatment of this disease tend to apply heterogeneous diagnostic and treatment criteria. AIM. To establish homogeneous criteria for treating spasticity based on available scientific knowledge, facilitating decision-making in regular clinical practice. DEVELOPMENT. A group of multiple sclerosis specialists from the Spanish Neurological Society demyelinating diseases working group met to review aspects related to spasticity in this disease and draw up the consensus. After an exhaustive bibliographic search and following a metaplan technique, a number of preliminary recommendations were established to incorporate into the document. Finally, each argument was classified depending on the degree of recommendation according to the SIGN (Scottish Intercollegiate Guidelines Network) system. The resulting text was submitted for review by the demyelinating disease group. An experts' consensus was reached regarding spasticity triggering factors, related symptoms, diagnostic criteria, assessment methods, quality of life and therapeutic management (drug and non-drug) criteria. CONCLUSION. The recommendations included in this consensus can be a useful tool for improving the quality of life of multiple sclerosis patients, as they enable improved diagnosis and treatment of spasticity.
Abstract available from the publisher.
C Oreja-Guevara; X Montalban; C de Andres; B Casanova-Estruch; D Munoz-Garcia; I Garcia; O Fernandez
Publication Detail:
Journal Detail:
Title:  Revista de neurologia     Volume:  57     ISSN:  1576-6578     ISO Abbreviation:  Rev Neurol     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7706841     Medline TA:  Rev Neurol     Country:  -    
Other Details:
Languages:  SPA     Pagination:  359-373     Citation Subset:  -    
Hospital Clinico San Carlos, 28040 Madrid, Espana.
Vernacular Title:
Documento de consenso sobre la espasticidad en pacientes con esclerosis multiple.
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