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

  • Spinal Cord Injury Rehabilitation (C Sadowsky, Section Editor)
  • Published:
Current Physical Medicine and Rehabilitation Reports Aims and scope Submit manuscript

Abstract

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.

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  1. International Center for Spinal Cord Injury, Kennedy Krieger Institute Outpatient Center, 801 N. Broadway, Baltimore, MD, 21205, USA

    Philippines G. Cabahug

  2. Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD, 21205, USA

    Philippines G. Cabahug

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Correspondence to Philippines G. Cabahug.

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Cabahug, P.G. Managing Spasticity in a Pregnant Woman with Spinal Cord Injury: a Review. Curr Phys Med Rehabil Rep 6, 245–256 (2018). https://doi.org/10.1007/s40141-018-0198-5

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