{"id":"https://openalex.org/W4214869714","doi":"https://doi.org/10.2147/dnnd.s350192","title":"Invasive Physiotherapy as a Treatment of Spasticity: A Systematic Review","display_name":"Invasive Physiotherapy as a Treatment of Spasticity: A Systematic Review","publication_year":2022,"publication_date":"2022-03-01","ids":{"openalex":"https://openalex.org/W4214869714","doi":"https://doi.org/10.2147/dnnd.s350192","pmid":"https://pubmed.ncbi.nlm.nih.gov/35264894","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8901191"},"language":"en","primary_location":{"id":"doi:10.2147/dnnd.s350192","doi":"https://doi.org/10.2147/dnnd.s350192","is_oa":true,"landing_page_url":"https://doi.org/10.2147/dnnd.s350192","pdf_url":"https://www.dovepress.com/getfile.php?fileID=78782","source":{"id":"https://openalex.org/S4210190832","display_name":"Degenerative Neurological and Neuromuscular Disease","issn_l":"1179-9900","issn":["1179-9900"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Degenerative Neurological and Neuromuscular Disease","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.dovepress.com/getfile.php?fileID=78782","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087493686","display_name":"Alberto Javier-Ormaz\u00e1bal","orcid":"https://orcid.org/0000-0001-8742-5308","observed_orcids":["https://orcid.org/0000-0001-8742-5308"]},"institutions":[{"id":"https://openalex.org/I2800401438","display_name":"Hospital Universitario de Canarias","ror":"https://ror.org/05qndj312","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I2800401438"]}],"countries":["ES"],"is_corresponding":true,"raw_author_name":"Alberto Javier-Ormaz\u00e1bal","raw_affiliation_strings":["Rehabilitation Service, Hospital Universitario de Canarias, San Cristobal de la Laguna, Islas Canarias, Spain"],"raw_orcid":"https://orcid.org/0000-0001-8742-5308","affiliations":[{"raw_affiliation_string":"Rehabilitation Service, Hospital Universitario de Canarias, San Cristobal de la Laguna, Islas Canarias, Spain","institution_ids":["https://openalex.org/I2800401438"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068112105","display_name":"Montserrat Gonz\u00e1lez-Platas","orcid":"https://orcid.org/0000-0003-1116-5241","observed_orcids":["https://orcid.org/0000-0003-1116-5241"]},"institutions":[{"id":"https://openalex.org/I2800401438","display_name":"Hospital Universitario de Canarias","ror":"https://ror.org/05qndj312","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I2800401438"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Montserrat Gonz\u00e1lez-Platas","raw_affiliation_strings":["Neurology Service, Hospital Universitario de Canarias, San Crist\u00f3bal de La Laguna, Islas Canarias, Spain"],"raw_orcid":"https://orcid.org/0000-0003-1116-5241","affiliations":[{"raw_affiliation_string":"Neurology Service, Hospital Universitario de Canarias, San Crist\u00f3bal de La Laguna, Islas Canarias, Spain","institution_ids":["https://openalex.org/I2800401438"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Elena Gonz\u00e1lez-Sierra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I16097986","display_name":"Universitat de Val\u00e8ncia","ror":"https://ror.org/043nxc105","country_code":"ES","type":"education","lineage":["https://openalex.org/I16097986"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Elena Gonz\u00e1lez-Sierra","raw_affiliation_strings":["English Department, University of Valencia, Valencia, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"English Department, University of Valencia, Valencia, Spain","institution_ids":["https://openalex.org/I16097986"]}]},{"author_position":"last","author":{"id":null,"display_name":"Marta Gonz\u00e1lez-Sierra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800401438","display_name":"Hospital Universitario de Canarias","ror":"https://ror.org/05qndj312","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I2800401438"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Marta Gonz\u00e1lez-Sierra","raw_affiliation_strings":["Home Hospitalization, Service Hospital Universitario de Canarias, San Crist\u00f3bal de La Laguna, Islas Canarias, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Home Hospitalization, Service Hospital Universitario de Canarias, San Crist\u00f3bal de La Laguna, Islas Canarias, Spain","institution_ids":["https://openalex.org/I2800401438"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5087493686"],"corresponding_institution_ids":["https://openalex.org/I2800401438"],"apc_list":null,"apc_paid":null,"fwci":0.2276,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.21654581,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"Volume 12","issue":null,"first_page":"23","last_page":"29"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11274","display_name":"Botulinum Toxin and Related Neurological Disorders","score":0.9340999722480774,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11274","display_name":"Botulinum Toxin and Related Neurological Disorders","score":0.9340999722480774,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11327","display_name":"Acupuncture Treatment Research Studies","score":0.03139999881386757,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10919","display_name":"Deep Brain Stimulation and Movement Disorders","score":0.014700000174343586,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spasticity","display_name":"spasticity","score":0.9869999885559082},{"id":"https://openalex.org/keywords/acupuncture","display_name":"acupuncture","score":0.968999981880188},{"id":"https://openalex.org/keywords/electroacupuncture","display_name":"electroacupuncture","score":1.0},{"id":"https://openalex.org/keywords/dry-needling","display_name":"dry needling","score":0.9990000128746033},{"id":"https://openalex.org/keywords/percutaneous-treatment","display_name":"percutaneous treatment","score":0.6740000247955322},{"id":"https://openalex.org/keywords/conventional-physical-therapy","display_name":"conventional physiotherapy","score":0.8830000162124634},{"id":"https://openalex.org/keywords/spasticity-reduction","display_name":"spasticity reduction","score":0.781000018119812}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.758899986743927},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.597100019454956},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.453000009059906},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.42719998955726624},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2879999876022339},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.2874999940395355},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.2840999960899353},{"id":"https://openalex.org/C2777771302","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Exercise therapy","level":3,"score":0.2651999890804291},{"id":"https://openalex.org/C2779903281","wikidata":"https://www.wikidata.org/wiki/Q6888026","display_name":"Modalities","level":2,"score":0.25929999351501465},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.2578999996185303},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.25110000371932983}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.2147/dnnd.s350192","doi":"https://doi.org/10.2147/dnnd.s350192","is_oa":true,"landing_page_url":"https://doi.org/10.2147/dnnd.s350192","pdf_url":"https://www.dovepress.com/getfile.php?fileID=78782","source":{"id":"https://openalex.org/S4210190832","display_name":"Degenerative Neurological and Neuromuscular Disease","issn_l":"1179-9900","issn":["1179-9900"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Degenerative Neurological and Neuromuscular Disease","raw_type":"journal-article"},{"id":"pmid:35264894","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35264894","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Degenerative neurological and neuromuscular disease","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:8901191","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8901191/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Degener Neurol Neuromuscul Dis","raw_type":"Text"},{"id":"pmh:oai:dovepress.com/73396","doi":null,"is_oa":true,"landing_page_url":"https://www.dovepress.com/invasive-physiotherapy-as-a-treatment-of-spasticity-a-systematic-revie-peer-reviewed-fulltext-article-DNND","pdf_url":null,"source":{"id":"https://openalex.org/S4306401012","display_name":"Dove Medical Press (Taylor and Francis Group)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Review"}],"best_oa_location":{"id":"doi:10.2147/dnnd.s350192","doi":"https://doi.org/10.2147/dnnd.s350192","is_oa":true,"landing_page_url":"https://doi.org/10.2147/dnnd.s350192","pdf_url":"https://www.dovepress.com/getfile.php?fileID=78782","source":{"id":"https://openalex.org/S4210190832","display_name":"Degenerative Neurological and Neuromuscular Disease","issn_l":"1179-9900","issn":["1179-9900"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Degenerative Neurological and Neuromuscular Disease","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4214869714.pdf","grobid_xml":"https://content.openalex.org/works/W4214869714.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W141970558","https://openalex.org/W822088843","https://openalex.org/W1965476487","https://openalex.org/W1970000853","https://openalex.org/W1974619413","https://openalex.org/W1974895049","https://openalex.org/W1976468481","https://openalex.org/W1991524199","https://openalex.org/W2004847867","https://openalex.org/W2042355753","https://openalex.org/W2059776691","https://openalex.org/W2061970579","https://openalex.org/W2072904024","https://openalex.org/W2091313177","https://openalex.org/W2102968146","https://openalex.org/W2109231552","https://openalex.org/W2130849349","https://openalex.org/W2347020023","https://openalex.org/W2481558866","https://openalex.org/W2587262890","https://openalex.org/W2608868253","https://openalex.org/W2744893184","https://openalex.org/W2765451107","https://openalex.org/W2792329847","https://openalex.org/W2838720042","https://openalex.org/W2940795040","https://openalex.org/W2976100317","https://openalex.org/W2996044400","https://openalex.org/W3003165615","https://openalex.org/W3013644255","https://openalex.org/W3017551376","https://openalex.org/W3034001310","https://openalex.org/W3040006289","https://openalex.org/W3042704459","https://openalex.org/W3047076532","https://openalex.org/W3052667260"],"related_works":["https://openalex.org/W7062606736","https://openalex.org/W4392809127","https://openalex.org/W6990674882","https://openalex.org/W2416995067","https://openalex.org/W2399535958","https://openalex.org/W3141367775","https://openalex.org/W2900189177","https://openalex.org/W7017253252","https://openalex.org/W7135922898","https://openalex.org/W1965125815"],"abstract_inverted_index":{"Introduction:":[0],"Nowadays,":[1],"a":[2,45,86,119],"set":[3],"of":[4,31,68,115,121,129,182],"novel":[5],"physiotherapy":[6,152],"techniques":[7,40],"have":[8,167],"emerged,":[9],"in":[10,42,44,65,124,140,154,170],"which":[11],"the":[12,26,38,49,66,75,97,101,106,116,127,130,143,150,180,183],"physical":[13],"agent":[14],"used":[15,41,79],"to":[16,18,35,166,178,186],"try":[17],"reduce":[19],"spasticity":[20,43,125],"is":[21,34],"applied":[22],"percutaneously,":[23],"specifically,":[24],"through":[25],"patient's":[27],"skin.":[28],"The":[29],"aim":[30],"this":[32],"work":[33],"encompass":[36],"all":[37,96],"invasive":[39,159],"single":[46],"article,":[47],"updating":[48],"existing":[50],"bibliography.":[51],"Methodology:":[52],"A":[53],"systematic":[54],"review":[55],"was":[56,108],"carried":[57,146],"out":[58,147],"between":[59,126],"December":[60],"2020":[61],"and":[62,71,100,185],"April":[63],"2021":[64],"Web":[67],"Science,":[69],"Scopus":[70],"PubMed":[72],"databases,":[73],"selecting":[74],"clinical":[76,91],"trials":[77,92],"that":[78],"acupuncture,":[80],"electroacupuncture":[81],"or":[82],"dry":[83],"needling":[84],"as":[85],"treatment":[87,153],"for":[88,110],"spasticity.":[89,141,155],"Sixteen":[90],"were":[93],"included,":[94],"summarizing":[95],"study":[98],"characteristics":[99],"outcome":[102],"measures,":[103],"at":[104],"last":[105],"evidence":[107],"described":[109],"their":[111,188],"results.":[112],"Results:":[113],"Most":[114],"studies":[117,135,144,175],"find":[118],"difference":[120],"significant":[122,138],"decrease":[123],"subjects":[128],"experimental":[131],"groups.":[132],"Only":[133],"four":[134],"found":[136],"no":[137],"changes":[139],"All":[142],"are":[145,176],"together":[148],"with":[149,158,162],"conventional":[151,163],"Conclusion:":[156],"Treatment":[157],"physiotherapy,":[160,164],"combined":[161],"seems":[165],"positive":[168],"effects":[169],"reducing":[171],"spasticity,":[172],"although":[173],"more":[174],"needed":[177],"improve":[179],"heterogeneity":[181],"interventions":[184],"assess":[187],"long-term":[189],"effectiveness.":[190]},"counts_by_year":[{"year":2025,"cited_by_count":5},{"year":2022,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2022-03-05T00:00:00"}
