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Tuesday, October 24, 2006
Effect of intrathecal baclofen on sleep and respiratory function in patients with spasticity
From the Physical Medicine and Rehabilitation Department (D.B., N.R., S.B., M.B., P.D.), Physiological Department and Sleep Unit (M.B., F.L., M.A.Q.S.), and Technological Innovation Center (P.D., F.L.), AP-HP, Hôpital Raymond Poincaré, Université Versailles–Saint-Quentin, Garches, France. Objective: To prospectively evaluate the effect of pump-infused intrathecal baclofen infusion (ITB) in therapeutic doses on sleep quality and on daytime and nighttime respiratory function in patients with severe spasticity Conclusion: Compared with oral baclofen, intrathecal baclofen infusion did not affect respiratory function and improved sleep continuity. Intrathecal baclofen infusion in therapeutic doses may act at the spinal level rather than at the supraspinal level.more |