Daliri Seyedeh Somayeh, Forogh Bijan, Emami Razavi Seyedeh Zahra, Ahadi Tannaz, Madjlesi Faezeh, Ansari Noureddin Nakhostin
Department of Physical Medicine and Rehabilitation, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
NeuroRehabilitation. 2015;36(1):67-72. doi: 10.3233/NRE-141193.
Spasticity is a common, serious symptom after stroke. Extracorporeal shock wave therapy (ESWT) has been suggested for the treatment of muscle spasticity.
To investigate the effects of ESWT on post stroke wrist flexor spasticity.
Fifteen patients with poststroke wrist flexor spasticity (12 male and 3 female with a mean age of 54 years) were enrolled. Patients received 1 sham ESWT followed by 1 active ESWT 1 week later. The outcome measures were the Modified Modified Ashworth Scale (MMAS), the Hmax/Mmax ratio, and the Brunnstrom motor recovery stage.
The sham ESWT had not effects on the outcome measures. After active ESW, the MMAS scores of spasticity and the Hmax/Mmax ratio improved. The improvements were maintained 5 weeks after active ESWT. No significant improvements were observed for the motor recovery after sham or active ESWT.
In adult patients after stroke, a single session of active ESWT resulted in significant improvement in the wrist flexor spasticity and alpha motor neuron excitability.
痉挛是中风后常见且严重的症状。体外冲击波疗法（ESWT）已被推荐用于治疗肌肉痉挛。
探讨体外冲击波疗法对中风后腕部屈肌痉挛的影响。
纳入15例中风后腕部屈肌痉挛患者（男12例，女3例，平均年龄54岁）。患者先接受1次假体外冲击波疗法，1周后接受1次真体外冲击波疗法。观察指标包括改良的改良Ashworth量表（MMAS）、Hmax/Mmax比值和Brunnstrom运动恢复阶段。
假体外冲击波疗法对观察指标无影响。真体外冲击波疗法后，痉挛的MMAS评分和Hmax/Mmax比值有所改善。这些改善在真体外冲击波疗法后5周仍持续存在。假体外冲击波疗法或真体外冲击波疗法后运动恢复均未观察到显著改善。
在成年中风患者中，单次真体外冲击波疗法可显著改善腕部屈肌痉挛和α运动神经元兴奋性。
