Management of spasticity in individuals with spinal cord injury in the era of COVID-19 pandemic societal restrictions

Spinal Cord Series and Cases, 2023 · DOI: https://doi.org/10.1038/s41394-023-00573-7 · Published: April 3, 2023

Simple Explanation

The COVID-19 pandemic disrupted healthcare, affecting individuals with spinal cord injuries (SCI) who require ongoing symptom management. Access to hospitals and routine treatments was limited due to the pandemic. This study investigated how the pandemic and associated restrictions impacted spasticity management and daily activities for people with SCI. The research found that most individuals with SCI experienced increased spasticity during COVID-19 restrictions, leading to difficulties in daily living activities such as walking and sleeping.

Study Duration

Not specified

Participants

24 individuals with SCI exhibiting moderate and severe spasticity

Evidence Level

Cross-sectional telephone interviews

Key Findings

1
75% of participants reported a moderate increase in spasticity during the COVID-19 pandemic restrictions.
2
87.5% of participants reported needing BoNT-A treatment due to the re-emergence of spasticity symptoms.
3
Increased spasticity led to difficulties in activities of daily living, including walking, sitting in a wheelchair, and sleep disturbance.

Research Summary

This study investigated the impact of COVID-19 restrictions on spasticity management in individuals with spinal cord injury (SCI). The results showed a significant increase in spasticity among participants during the pandemic, leading to a greater need for BoNT-A injections. The study highlights the vulnerability of individuals with disabilities during extraordinary circumstances and the need for specialized care and alternative solutions like telemedicine.

Practical Implications

Telemedicine Adoption

Encourages the widespread use of telemedicine and telerehabilitation to maintain access to care during crises.

Home-Based Therapy

Promotes monitoring of exercises and home-based therapies to improve functionality during periods of restricted access to healthcare facilities.

Specialized Care Planning

Highlights the necessity for specialized care and attention for individuals with disabilities during extraordinary circumstances like pandemics.

Study Limitations

1
The sample size of 24 participants may limit the generalizability of the findings.
2
The study relied on patient self-reporting, which may be subject to recall bias.
3
The psychological status of patients was not investigated, potentially missing a contributing factor to increased spasticity.

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