Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial
Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial
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DOI：
10.23736/s1973-9087.16.04211-8
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发表时间：
2017-02-01
影响因子：
4.5
通讯作者：
Romiti, Davide
中科院分区：
文献类型：
--
作者：
Costantino, Cosimo;Galuppo, Laura;Romiti, Davide
背景：近年来，局部肌肉振动作为临床治疗中肌肉刺激的有用方法受到广泛关注。一些研究描述了特定的振动训练方案，但其中很少有针对中风后患者进行的。因此，关于振动方案存在普遍的不确定性。目的：本研究的目的是评估局部肌肉高频机械声振动治疗对中风后上肢痉挛患者的握力、肌紧张、残疾和疼痛的影响。设计：单盲随机对照试验。地点：门诊康复中心。人群：32 名慢性中风后上肢痉挛患者：21 名男性，11 名女性，平均年龄 61.59 岁 15.50，距中风时间 37.78 17.72 个月。 方法：方案治疗包括应用局部肌肉振动，频率设置为 300 Hz，持续 30 分钟，每周 3 次，持续 12 个疗程，在自愿等长收缩期间应用于覆盖肱三头肌腹侧以及桡侧伸肌和短肌的皮肤收缩。所有参与者被随机分为两组：A 组采用振动方案治疗；A 组采用振动方案治疗；A 组采用振动方案治疗。 B组采用假治疗。所有参与者在 4 周治疗前和治疗后均接受了握力测试、改良 Ashworth 量表、QuickDASH 评分、FIM 量表、Fugl-Meyer 评估、Jebsen-Taylor 手功能测试和疼痛口头数字评定量表的评估。使用重复测量方差分析来比较各组之间的结果。 结果：4 周内，与 B 组相比，A 组记录的值显示握力、疼痛和生活质量有统计学显着改善，并且痉挛减少； P 值为
BACKGROUND: In recent years, local muscle vibration received considerable attention as a useful method for muscle stimulation in clinical therapy. Some studies described specific vibration training protocol, and few of them were conducted on post-stroke patients. Therefore there is a general uncertainty regarding the vibrations protocol.AIM: The aim of this study was to evaluate the effects of local muscle high frequency mechano-acoustic vibratory treatment on grip muscle strength, muscle tonus, disability and pain in post-stroke individuals with upper limb spasticity.DESIGN: Single-blind randomized controlled trial.SETTING: Outpatient rehabilitation center.POPULATION: Thirty-two chronic poststroke patients with upper-limb spasticity: 21 males, 11 females, mean age 61.59 years 15.50, time passed from stroke 37.78 17.72 months.METHODS: The protocol treatment consisted of the application of local muscle vibration, set to a frequency of 300 Hz, for 30 minutes 3 times per week, for 12 sessions, applied to the skin covering the venter of triceps brachii and extensor carpi radialis longus and brevis muscles during voluntary isometric contraction. All participants were randomized in two groups: group A treated with vibration protocol; group B with sham therapy. All participants were evaluated before and after 4-week treatment with Hand Grip Strength Test, Modified Ashworth Scale, QuickDASH score, FIM scale, Fugl-Meyer Assessment, Jebsen-Taylor Hand Function Test and Verbal Numerical Rating Scale of pain. Outcomes between groups was compared using a repeated-measures ANOVA.RESULTS: Over 4 weeks, the values recorded in group A when compared to group B demonstrated statistically significant improvement in grip muscle strength, pain and quality of life and decrease of spasticity; P-values were