A single blind, clinical trial to investigate the effects of a single session extracorporeal shock wave therapy on wrist flexor spasticity after stroke

被引:46
作者
Daliri, Seyedeh Somayeh [1 ]
Forogh, Bijan [1 ]
Razavi, Seyedeh Zahra Emami [1 ]
Ahadi, Tannaz [1 ]
Madjlesi, Faezeh [1 ]
Ansari, Noureddin Nakhostin [2 ]
机构
[1] Iran Univ Med Sci, Sch Med, Dept Phys Med & Rehabil, Tehran, Iran
[2] Iran Univ Med Sci, Sch Rehabil, Dept Physiotherapy, Tehran, Iran
关键词
Stroke; spasticity; rehabilitation; extracorporeal shock wave therapy; spinal excitability; H-reflex; CEREBRAL-PALSY; RECOVERY; PATHOPHYSIOLOGY; RELIABILITY; INTERRATER; HYPERTONIA; DISORDERS; MOVEMENT; MUSCLES;
D O I
10.3233/NRE-141193
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Spasticity is a common, serious symptom after stroke. Extracorporeal shock wave therapy (ESWT) has been suggested for the treatment of muscle spasticity. OBJECTIVE: To investigate the effects of ESWT on post stroke wrist flexor spasticity. METHODS: Fifteen patients with poststroke wrist flexor spasticity (12 male and 3 female with a mean age of 54 years) were enrolled. Patients received 1 sham ESWT followed by 1 active ESWT 1 week later. The outcome measures were the Modified Modified Ashworth Scale (MMAS), the H-max/M-max ratio, and the Brunnstrom motor recovery stage. RESULTS: The sham ESWT had not effects on the outcome measures. After active ESW, the MMAS scores of spasticity and the H-max/M-max ratio improved. The improvements were maintained 5 weeks after active ESWT. No significant improvements were observed for the motor recovery after sham or active ESWT. CONCLUSIONS: In adult patients after stroke, a single session of active ESWT resulted in significant improvement in the wrist flexor spasticity and alpha motor neuron excitability.
引用
收藏
页码:67 / 72
页数:6
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