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A single blind, clinical trial to investigate the effects of a single session extracorporeal shock wave therapy on wrist flexor spasticity after stroke

DALIRI SS; FOROGH B; EMAMI RAZAVI SZ; AHADI T; MADJLESI F; ANSARI NN
NEUROREHABILITATION , 2015, vol. 36, n° 1, p. 67-72
Doc n°: 176290
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-141193
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, AD32 - SPASTICITE, DD76 - TRAITEMENTS - POIGNET-CARPE, DD762 - TRAITEMENT DE REEDUCATION - POIGNET-CARPE, KA91 - PHYSIOTHERAPIE

Spasticity is a common, serious symptom after stroke. Extracorporeal
shock wave therapy (ESWT) has been suggested for the treatment of muscle
spasticity. OBJECTIVE: To investigate the effects of ESWT on post stroke wrist
flexor spasticity. METHODS: 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. RESULTS:
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. CONCLUSIONS: 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.

Langue : ANGLAIS

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