Lee Jung-Ho, Kim Eun-Ja
Department of Physical Therapy, Kyungdong University, 815, Gyeonhwon-ro, Munmak-eup, Wonju-si 26495, Gang-won-do, Republic of Korea.
Brain Sci. 2023 Apr 20;13(4):687. doi: 10.3390/brainsci13040687.
This study was conducted to investigate the effects of extracorporeal shock wave therapy on the improvement of walking ability through a reduction in spasticity in stroke patients.
Thirty-three patients diagnosed with ischemic stroke by a rehabilitation medicine specialist were randomly assigned to three groups. The patients were divided into experimental group 1 in which shock waves were applied to the muscle-tendon junction, experimental group 2 in which shock waves were applied to the middle of the muscle, and experimental group 3 in which shock waves were applied to both the muscle-tendon junction and the middle of the muscle. The MAS was used to evaluate spasticity in the subjects, and the Dartfish software was used to measure knee and ankle angles during heel-off when walking.
Based on the results of the study, a significant decrease in spasticity and increased joint angles were found in experimental groups 1 and 3 compared to experimental group 2, and the change in joint angle was significantly greater in experimental group 3 than in experimental groups 1 and 2.
These results indicate that treatment effect may vary depending on the application site of the shock wave, and to obtain the best treatment effect, the shock wave should be applied to both the muscle-tendon junction and the middle part of the muscle.
本研究旨在探讨体外冲击波疗法通过减轻中风患者的痉挛来改善步行能力的效果。
33名经康复医学专家诊断为缺血性中风的患者被随机分为三组。患者被分为实验组1，冲击波作用于肌腱结合部；实验组2，冲击波作用于肌肉中部；实验组3，冲击波作用于肌腱结合部和肌肉中部。采用改良Ashworth量表（MAS）评估受试者的痉挛程度，使用Dartfish软件测量步行时足跟离地时的膝关节和踝关节角度。
根据研究结果，与实验组2相比，实验组1和3的痉挛程度显著降低，关节角度增加，且实验组3的关节角度变化显著大于实验组1和2。
这些结果表明，治疗效果可能因冲击波的应用部位而异，为获得最佳治疗效果，应将冲击波应用于肌腱结合部和肌肉中部。
