التفاصيل البيبلوغرافية
| العنوان: |
Radial extracorporeal shock wave therapy as an additional treatment modality for spastic equinus deformity in chronic hemiplegic patients. A randomized controlled study. |
| المؤلفون: |
Nada, Doaa Waseem, El Sharkawy, Amira Mohamed, Elbarky, Elham Mahmoud, Rageh, El Sayed Mohamed, Allam, Abdallah El Sayed |
| المصدر: |
Disability & Rehabilitation; Sep2024, Vol. 46 Issue 19, p4486-4494, 9p |
| مصطلحات موضوعية: |
REPEATED measures design, DORSIFLEXION, STRETCH (Physiology), MEASUREMENT of angles (Geometry), T-test (Statistics), DATA analysis, HEMIPLEGIA, STATISTICAL sampling, BLIND experiment, EXERCISE therapy, TREATMENT effectiveness, RANDOMIZED controlled trials, DESCRIPTIVE statistics, ORAL drug administration, CHI-squared test, DIAGNOSIS, GAIT in humans, SPASTICITY, LONGITUDINAL method, PHENYLPROPANOLAMINE, ELECTROMYOGRAPHY, COMBINED modality therapy, STROKE rehabilitation, ANALYSIS of variance, STATISTICS, STROKE, EQUINUS deformity, ULTRASONIC therapy, STROKE patients, COMPARATIVE studies, DATA analysis software, RANGE of motion of joints, ACTIVITIES of daily living, DISEASE complications |
| مستخلص: |
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. Implications for Rehabilitation: Extracorporeal shock wave therapy represents a useful non-invasive, additional modality for reduction of foot spasticity and equinus deformity in chronic stroke patients. The application of such a modality improves limb posture, range of motion, and muscle extensibility. Early extracorporeal shock wave rehabilitative intervention in stroke patients reduces fat infiltration and fibrosis replacement of spastic muscle. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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