دورية أكاديمية
أعرض في EDS

Extracorporeal Shock Wave Therapy on Spasticity After Upper Motor Neuron Injury: A Systematic Review and Meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Extracorporeal Shock Wave Therapy on Spasticity After Upper Motor Neuron Injury: A Systematic Review and Meta-analysis.
المؤلفون: Zhang HL; From the School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, People's Republic of China (H-LZ, R-JJ, D-LZ, X-BL, JL); Department of Rehabilitation, Fushun County People's Hospital, Zigong, People's Republic of China (LG); School of Acupuncture Moxibustion and Tuina/The Third Affiliated Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, People's Republic of China (Y-XL, Q-WX); and Department of Ophthalmology, Hospital of Chengdu University of Traditional Chinese Medicine, Sichuan, People's Republic of China (X-LX)., Jin RJ, Guan L, Zhong DL, Li YX, Liu XB, Xiao QW, Xiao XL, Li J
المصدر: American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2022 Jul 01; Vol. 101 (7), pp. 615-623. Date of Electronic Publication: 2022 Feb 15.
نوع المنشور: Journal Article; Meta-Analysis; Systematic Review; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8803677 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-7385 (Electronic) Linking ISSN: 08949115 NLM ISO Abbreviation: Am J Phys Med Rehabil Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Baltimore, MD] : Published by Williams & Wilkins for the Association of Academic Physiatrists, [c1988-
مواضيع طبية MeSH: Extracorporeal Shockwave Therapy*, Humans ; Motor Neurons ; Muscle Spasticity/etiology ; Muscle Spasticity/therapy ; Pain
مستخلص: Objective: The aim of the study was to evaluate the effectiveness and safety of extracorporeal shock wave therapy on spasticity after upper motor neuron injury.
Design: Eight electronic databases were searched systematically from their inception to August 3, 2021, to provide robust evidence for the efficacy of extracorporeal shock wave therapy for spasticity and range of motion after upper motor neuron injury. Study screening, data extraction, risk of bias assessment, and evaluation of the certainty of evidence were performed independently by two independent reviewers. Data analysis was conducted using RevMan 5.3.5 and R 3.6.1 software.
Results: Forty-two studies with 1973 patients who met the eligibility criteria were selected from articles published from 2010 to 2021, of which 34 were included in the meta-analysis. A comparison intervention revealed that extracorporeal shock wave therapy significantly decreased the Modified Ashworth Scale score and increased the passive range of motion of a joint. Regarding the safety of extracorporeal shock wave therapy, slightly adverse effects, such as skin injury, bone distortion, muscle numbness, pain, petechiae, and weakness, were reported in five studies.
Conclusions: Extracorporeal shock wave therapy may be an effective and safe treatment for spasticity after upper motor neuron injury. However, because of poor methodological qualities of the included studies and high heterogeneity, this conclusion warrants further investigation.
To Claim Cme Credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME.
Cme Objectives: Upon completion of this article, the reader should be able to: (1) Determine the impact of extracorporeal shock wave therapy on spasticity after upper motor neuron injury; (2) Describe the factors that affect the efficacy of extracorporeal shock wave therapy on spasticity; and (3) Discuss the mechanism of action of extracorporeal shock wave therapy on spasticity.
Level: Advanced.
Accreditation: The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Competing Interests: Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.
(Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.)
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تواريخ الأحداث: Date Created: 20220213 Date Completed: 20220617 Latest Revision: 20230922
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC9197142
DOI: 10.1097/PHM.0000000000001977
PMID: 35152251
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-7385
DOI:10.1097/PHM.0000000000001977