Department of Rehabilitation Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang, 330008, Jiangxi, China.
Rehabilitation medicine and physiotherapy, Medical Department of Nanchang University, Nanchang, 330006, Jiangxi, China.
BMC Neurol. 2023 Oct 4;23(1):349. doi: 10.1186/s12883-023-03391-4.
To observe the clinical efficacy of ultrasound-guided stellate ganglion block (SGB) + extracorporeal shock wave therapy (ESWT) for limb spasticity in patients with ischemic stroke.
A total of 60 patients with post-stroke limb spasticity in our hospital were selected and randomly divided into four groups (n = 15). In the control group, patients received routine rehabilitation training. Based on routine rehabilitation training, SGB group patients underwent ultrasound-guided SGB, ESWT group patients received ESWT, and SGB + ESWT group patients received ultrasound-guided SGB combined with ESWT. The total treatment course was one month. The Modified Barthel Index (MBI) score, Fugl-Meyer Assessment and upper limb rehabilitation training system were applied to evaluate the activities of daily living, upper limb motor function and upper limb performance before and after treatment. Finally, the improvement after treatment was compared among different groups.
After treatment, compared with the control group, the MBI score and the upper limb score based on Fugl-Meyer Assessment in the SGB, ESWT, and SGB + ESWT groups were significantly increased (P < 0.05). Furthermore, compared with the SGB and ESWT groups, SGB + ESWT exhibited a higher upper limb function score (P < 0.05), while the MBI score was not significantly different (P > 0.05). In terms of upper limb performance ability, patients in the SGB, ESWT and SGB + ESWT groups had better fitting degree, participation and exertion of exercise than those in the control group, and the SGB + ESWT group patients had the same movement trajectory as robots.
Ultrasound-guided SGB and ESWT can reduce the muscle tension of patients, alleviate spasticity, promote the motor function of the upper limb, and improve the working performance of patients. However, the effect of SGB combined with ESWT is better.
观察超声引导星状神经节阻滞（SGB）联合体外冲击波疗法（ESWT）治疗缺血性脑卒中后肢体痉挛的临床疗效。
选取我院收治的 60 例脑卒中后肢体痉挛患者，随机分为 4 组（n=15）。对照组患者接受常规康复训练，SGB 组患者在常规康复训练基础上接受超声引导 SGB，ESWT 组患者接受 ESWT，SGB+ESWT 组患者接受超声引导 SGB 联合 ESWT。总治疗疗程为 1 个月。采用改良巴氏指数（MBI）评分、Fugl-Meyer 评估及上肢康复训练系统评价患者治疗前后日常生活活动能力、上肢运动功能及上肢作业能力，最后比较不同组间的治疗后改善情况。
治疗后，与对照组相比，SGB、ESWT、SGB+ESWT 组患者的 MBI 评分及基于 Fugl-Meyer 评估的上肢评分均显著升高（P<0.05）。进一步与 SGB 组和 ESWT 组相比，SGB+ESWT 组患者上肢功能评分更高（P<0.05），而 MBI 评分差异无统计学意义（P>0.05）。在上肢作业能力方面，SGB、ESWT 和 SGB+ESWT 组患者的运动拟合度、参与度和努力度均优于对照组，且 SGB+ESWT 组患者的运动轨迹与机器人相同。
超声引导 SGB 和 ESWT 均可降低患者肌肉张力，缓解痉挛，促进上肢运动功能，提高患者作业能力，且 SGB 联合 ESWT 效果更佳。
Zotero 插件
