Radial extracorporeal shock wave therapy as an additional treatment modality for spastic equinus deformity in chronic hemiplegic patients. A randomized controlled study.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2024-09-01 Epub Date: 2023-11-05 DOI:10.1080/09638288.2023.2278185

Doaa Waseem Nada, Amira Mohamed El Sharkawy, Elham Mahmoud Elbarky, El Sayed Mohamed Rageh, Abdallah El Sayed Allam

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引用次数: 0

Abstract

Purpose: To evaluate the effectiveness of radial extracorporeal shock wave therapy (r ESWT) as an additional treatment modality for spastic equinus deformity in chronic hemiplegic patients.

Methods: 100 eligible stroke patients with calf muscles spasticity were randomized into 2 groups. Group I: 50 patients exposed to rESWT 1.500 pulses, 0.10 mJ to 0.3mJ/mm2, with a frequency 4 Hz once weekly for one month. Group II: 50 patients exposed to Sham rESWT once weekly for one month. Clinical, electrophysiological & musculoskeletal ultrasound assessments were done for all patients.

Results: After controlling baseline as covariate, the trend for modified Ashworth scale (MAS), Passive ankle dorsiflexion motion (PADFM), 10 meters walk test (10-MWT), and Ratio of maximum H reflex to maximum M response (H/M ratio) after one & two months was significantly different between the two groups, with improvement of all clinical and electrophysiological parameters in group I.

Conclusion: ESWT represents a useful non-invasive, additional modality for the reduction of foot spasticity and equinus deformity in stroke patients.

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放射状体外冲击波治疗作为慢性偏瘫患者痉挛性马畸形的一种额外治疗方式。一项随机对照研究。

目的：评价放射状体外冲击波治疗（r ESWT）作为慢性偏瘫患者痉挛性马畸形的一种额外治疗方式的有效性。方法：将100例符合条件的脑卒中小腿肌肉痉挛患者随机分为2组。I组：50名患者暴露于rESWT 1.500脉冲，0.10 mJ至0.3mJ/mm2，频率为4 Hz，每周一次，为期一个月。第二组：50例患者暴露于ShamrESWT，每周一次，持续一个月。对所有患者进行了临床、电生理和肌肉骨骼超声评估。结果：在控制基线作为协变量后，两组在一个月和两个月后的改良Ashworth量表（MAS）、被动踝关节背屈运动（PADFM）、10米步行测试（10-MWT）和最大H反射与最大M反应之比（H/M比）的趋势有显著差异，I组的所有临床和电生理参数都有所改善。结论：ESWT是一种有用的非侵入性、额外的方式，可减少中风患者的足部痉挛和马畸形。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.