Extracorporeal Shock Wave Therapy with Low-Energy Flux Density Treatment Applied to Hemiplegia Patients on Somatosensory Functions and Spatiotemporal Parameters.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Gülnihal Deniz, Furkan Bilek, Arif Gülkesen, Murteza Çakır
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Abstract

We aimed to investigate the efect of Extracorporeal Shock Wave Therapy (ESWT) applied to patients with hemiplegia on somatosensory data, spatiotemporal parameters, posture, and muscle tone. This was a double-blind, randomised, controlled trial. Patients were randomised within pairs to either the experimental (ESWT) group (n=20) or the control group (n=20). All patients participated in the same conventional stroke rehabilitation program for 60 minutes of treatment a day, 5 times a week for 6 weeks (30 sessions). Patients assigned to the ESWT group received additional ESWT over the plantar fascia 3 days/week for 6 weeks. Timed Up and Go (TUG) test, Modified Ashworth Scale (MAS) score, Posture Assessment Scale for Stroke Patients (PASS), spatiotemporal parameters, Semmes-Weinstein monofilament (SWM) test, and vibration sensation test (VST) were performed in all participant before and after treatment. In the ESWT and control groups, statistically, significant diferences were obtained in the posttreatment analysis than pre-treatment. Significant diferences were found in foot angle, step cycle duration, swing phase, cadence, gait cycle distance, and VST values after ESWT treatment (P < .01). When combined with a neurological rehabilitation program, it was determined that ESWT applied to the plantar face of the foot in individuals with hemiplegia increased somatosensory functions and was more successful in developing postural control and balance.

体外冲击波低能量通量密度疗法对偏瘫患者躯体感觉功能和时空参数的影响
我们旨在研究体外冲击波疗法(ESWT)对偏瘫患者的体感数据、时空参数、姿势和肌张力的影响。这是一项双盲、随机对照试验。患者被随机分配到实验(ESWT)组(20 人)或对照组(20 人)。所有患者均参加相同的传统中风康复计划,每天治疗 60 分钟,每周 5 次,持续 6 周(30 次)。ESWT 组患者每周 3 天在足底筋膜上接受额外的 ESWT 治疗,持续 6 周。所有受试者在治疗前后均进行了定时上下楼(TUG)测试、改良阿什沃斯量表(MAS)评分、脑卒中患者姿势评估量表(PASS)、时空参数、塞姆斯-温斯坦单丝(SWM)测试和振动感觉测试(VST)。在 ESWT 组和对照组中,治疗后的分析结果与治疗前相比有显著差异。在 ESWT 治疗后,足部角度、步周期持续时间、摆动阶段、步幅、步周期距离和 VST 值均有显著差异(P < .01)。结合神经康复计划,可以确定对偏瘫患者的足底进行 ESWT 治疗可增强其躯体感觉功能,并更成功地发展姿势控制和平衡能力。
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来源期刊
Eurasian Journal of Medicine
Eurasian Journal of Medicine Medicine-Medicine (all)
CiteScore
1.90
自引率
6.70%
发文量
59
审稿时长
16 weeks
期刊介绍: Eurasian Journal of Medicine (Eurasian J Med) is an international, scientific, open access periodical published by independent, unbiased, and triple-blinded peer-review principles. The journal is the official publication of Atatürk University School of Medicine and published triannually in February, June, and October. The publication language of the journal is English. The aim of the Eurasian Journal of Medicine is to publish original research papers of the highest scientific and clinical value in all medical fields. The Eurasian J Med also includes reviews, editorial short notes and letters to the editor that either as a comment related to recently published articles in our journal or as a case report. The target audience of the journal includes researchers, physicians and healthcare professionals who are interested or working in in all medical disciplines.
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