A single blind, clinical trial to investigate the effects of a single session extracorporeal shock wave therapy on wrist flexor spasticity after stroke
A single blind, clinical trial to investigate the effects of a single session extracorporeal shock wave therapy on wrist flexor spasticity after stroke
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DOI：
10.3233/nre-141193
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发表时间：
2015-01-01
影响因子：
2
通讯作者：
Ansari, Noureddin Nakhostin
中科院分区：
文献类型：
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作者：
Daliri, Seyedeh Somayeh;Forogh, Bijan;Ansari, Noureddin Nakhostin
背景：痉挛是卒中后常见的严重症状。体外冲击波疗法（ESWT）已被建议用于治疗肌肉痉挛。目的：探讨ESWT对卒中后腕屈肌痉挛的影响。方法：纳入15例卒中后腕屈肌痉挛患者（男性12例，女性3例，平均年龄54岁）。患者接受1次假ESWT， 1周后再接受1次活性ESWT。观察指标为修正修正Ashworth量表（MMAS）、H-max/M-max比值、Brunnstrom运动恢复阶段。结果：假ESWT对结局指标无影响。主动ESW后，痉挛的MMAS评分和H-max/M-max比值均有改善。在积极的ESWT治疗5周后，这些改善得以保持。假手术或活动ESWT后运动恢复无明显改善。结论：在中风后的成年患者中，单次活动ESWT可显著改善腕屈肌痉挛和α运动神经元兴奋性。
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.