Managing Spasticity in a Pregnant Woman with Spinal Cord Injury: a Review

被引：0
作者：
Cabahug P.G. [1 ,2 ]
机构：
[1] International Center for Spinal Cord Injury, Kennedy Krieger Institute Outpatient Center, 801 N. Broadway, Baltimore, 21205, MD
[2] Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, 21205, MD
来源：
Current Physical Medicine and Rehabilitation Reports | 2018年 / 6卷 / 4期
关键词：
Pregnancy; Spasticity; Spinal cord injury;
D O I：
10.1007/s40141-018-0198-5
中图分类号：
学科分类号：
摘要：
Purpose of Review: This paper aims to review the available treatment options for spasticity management that can be used for pregnant women with spinal cord injury (SCI). Recent Findings: There are extensive reviews exploring the approach to care for the parturient with SCI. These often include a discussion on common medications used and their potential impact on pregnancy and lactation. However, there are no specific guidelines on managing spasticity in pregnancy. Existing review articles show a low level of evidence for commonly utilized physical interventions in spasticity management. There are several case reports on the use of intrathecal baclofen and focal injections with botulinum neurotoxin during pregnancy. Summary: The approach to management should recognize the interaction of pregnancy with secondary complications of SCI. Treatment decisions should be based on severity of spasticity, patient goals, and education of potential risks and benefits of different options with regard to pregnancy, lactation, maternal, and fetal outcomes. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
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收藏
页码：245 / 256
页数：11
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[91]  
Lin H., Barton N., Wiegand T., Prevention of neonatal abstinence syndrome in the setting of intrauterine baclofen exposure, Journal of Medical Toxicology, 10, pp. 85-86, (2014)
[92]  
Abrams D.I., The therapeutic effects of cannabis and cannabinoids: an update from the national academies of sciences, engineering and medicine report, Eur J Intern Med, 49, pp. 7-11, (2018)
[93]  
Pooyania S., Ethans K., Szturm T., Casey A., Perry D., A randomized, double-blinded crossover pilot study assessing the effect of nabilone on spasticity in persons with spinal cord injury, Arch Phys Med Rehabil, 91, pp. 703-707, (2010)
[94]  
Hagenbach U., Luz S., Ghafoor N., Berger J.M., Grotenhermen F., Brenneisen R., Mader M., The treatment of spasticity with delta 9-tetrahydrocannabinol in persons with spinal cord injury, Spinal Cord, 45, pp. 551-562, (2007)
[95]  
Hawley L.A., Ketchum J.M., Morey C., Collins K., Charlifue S., Cannabis Use in Individuals With Spinal Cord Injury or Moderate to Severe Traumatic Brain Injury in Colorado, Archives of Physical Medicine and Rehabilitation, 99, 8, pp. 1584-1590, (2018)
[96]  
Drossel C., Forchheimer M., Meade M., Characteristics of individuals with spinal cord injury who use cannabis for therapeutic purposes, Top Spinal Cord Inj Rehabil, 22, 1, pp. 3-12, (2016)
[97]  
Committee opinion no. 722: marijuana use during pregnancy and lactation, Obstet Gynecol, 130, 4, pp. e205-e209, (2017)
[98]  
Metz T., Stickrath E., Marijuana use in pregnancy and lactation: a review of the evidence, Am J Obstet Gynecol, 213, 6, pp. 761-768, (2015)
[99]  
Mark K., Terplan M., Cannabis and pregnancy: maternal child health implications during a period of drug policy liberalization, Prev Med, 104, pp. 46-49, (2017)
[100]  
Andresen S., Biering-Sorensen F., Hagen E., Nielsen J., Bach F., Finnerup N., Cannabis use in persons with traumatic spinal cord injury in Denmark, J Rehabil Med, 49, pp. 152-160, (2017)
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