Narrative review evaluates muscle energy techniques for post-stroke spasticity management.

This publication is a review evaluating the application of muscle energy techniques for post-stroke spasticity. The scope encompasses persons with stroke, focusing on interventions aimed at reducing muscle tone, improving range of motion, and enhancing functional outcomes. The authors synthesized available literature to determine the potential utility of these techniques within rehabilitation settings.

Key clinical studies indicate muscle energy techniques can reduce muscle tone and improve range of motion. Authors highlight particularly notable effects on upper limb spasticity. The evidence suggests these techniques may enhance functional outcomes, though specific effect sizes are not reported in this synthesis. Qualitative conclusions suggest a positive direction for these therapeutic goals.

Significant limitations affect the strength of current conclusions regarding efficacy. Evidence for mechanisms remains limited and comes mainly from experimental studies. There is heterogeneity in treatment protocols and a shortage of high-quality trials. Inconsistent efficacy and a lack of standardized protocols further complicate interpretation. The certainty note emphasizes that heterogeneity in treatment protocols and a shortage of high-quality trials limit the strength of current conclusions.

Reliance on active patient participation may preclude use in persons with stroke with significant cognitive or motor deficits. The review offers a mechanistic and clinical framework to support the evidence-based integration of muscle energy techniques into post-stroke spasticity rehabilitation. Clinicians should interpret these findings cautiously given the noted uncertainties and avoid overstating clinical value or mechanisms.