径向体外冲击波疗法（rESWT）治疗脑瘫痉挛：一项随机、安慰剂对照的临床试验。

Radial extracorporeal shock wave therapy (rESWT) in the treatment of spasticity in cerebral palsy: a randomized, placebo-controlled clinical trial.

机构信息

Cerebral Palsy Association (ASPACE), Centre Pilot Arcàngel Sant Gabriel, Barcelona, Spain.

出版信息

NeuroRehabilitation. 2011;29(4):413-9. doi: 10.3233/NRE-2011-0720.

DOI:10.3233/NRE-2011-0720

PMID:22207070

Abstract

AIM

The aim of this study was to evaluate the efficacy and safety of radial extracorporeal shock wave therapy (rESWT) in the treatment of spasticity in patients with cerebral palsy.

METHODS

Fifteen patients with spastic cerebral palsy, 12 men and 3 women, aged 10-46 years (mean age 31). The 15 patients presented 40 spastic muscles that were divided in three groups using a computerized random-number generator. The first group, received rESWT in spastic muscle. The second group received rESWT in spastic muscle + rESWT in antagonist muscle. The third group received placebo. Range of motion and Ashworth Scale were performed. This study is a randomized, placebo-controlled clinical trial. The patients were treated in 3 sessions at intervals of one week.

RESULTS

There are significant differences between groups treated with rESWT and group placebo. A significant decrease in the Ashworth Scale, an increase in the range of motion, were observed in all patients that were treated with rESWT. Positive results were maintained for at least 2 months after treatment.

INTERPRETATION

The treatment with rESWT is more effective than placebo in decreasing spasticity of patients with CP.

摘要

目的

本研究旨在评估径向体外冲击波疗法（rESWT）治疗脑瘫患者痉挛的疗效和安全性。

方法

15 名痉挛性脑瘫患者，男 12 名，女 3 名，年龄 10-46 岁（平均年龄 31 岁）。这 15 名患者共有 40 块痉挛肌肉，使用计算机随机数生成器将其分为三组。第一组接受痉挛肌肉 rESWT 治疗。第二组接受痉挛肌肉 rESWT+拮抗肌 rESWT 治疗。第三组接受安慰剂治疗。进行了关节活动度和 Ashworth 量表评估。这是一项随机、安慰剂对照的临床试验。患者在一周的间隔内接受 3 次治疗。