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. 2017 Nov 22;2017(11):CD008929. doi: 10.1002/14651858.CD008929.pub2
Pharmacological intervention Mode of action Non‐pharmacological intervention Mode of action
Baclofen Administered orally or via intrathecal pump to limit the release of excitatory neurotransmitters in the spinal cord. Casting Applied directly to the limb to maintain the muscle in an extended position.
Botulinum toxin A A neurotoxin injected directly into the muscle to block the release of the neurotransmitter acetylcholine. Splinting Thermoplastic or fabric material that is customised to provide support to a person's limb and maintain the limb in the corrected position.
Clonidine Administered orally or by transdermal patch to act on the central nervous system by reducing the excitability of alpha motor neurons. Seating Custom made seating for people to provide maximal support and reduce the impact of spasticity.
Dantrolene sodium Administered orally to reduce the excitation‐contraction coupling within the skeletal muscle and decrease the strength of muscle contraction. Stretching Promotes elongation of a muscle for varying lengths of time causing viscous deformation changes.
Phenol Injected into specific nerves to induce neurolysis to permanently block nerve transmission. Transcutaneous electric nerve stimulation Portable electric stimulator placed on the skin over a spastic muscle to reduce pain.
Tizanidine Administered orally to act on the central nervous system and reduce the excitability of alpha motor neurons. Surgery Surgical techniques primarily aim to alter the structure of a muscle or nerve or relocate a tendon to change its function.