ISSN: 2544-4395
Physiotherapy Quarterly
Current issue Archive Manuscripts accepted About the journal Editorial board Instructions for Reviewers Journal's Reviewers Special information Abstracting and indexing Contact Instructions for authors
SCImago Journal & Country Rank
 
1/2021
vol. 29
 
Share:
Share:
more
 
 
abstract:
Original paper

Clinical evaluation and monitoring of the effect of extracorporeal shockwave therapy in sub-acute and chronic post-stroke spasticity patients

Mai Mohammed Abdelnaby
1
,
Maii Abdelraheem Abdellatif
1

1.
Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Physiother Quart. 2021;29(1):7–11
Online publish date: 2021/03/11
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction
To evaluate the efficacy and maintenance of extracorporeal shockwave therapy (ESWT) in sub-acute and chronic post-stroke spasticity patients in the Suez Canal region.

Material and methods
An interrupted time series study was conducted; 82 patients were recruited in accordance with the defined inclusion and exclusion criteria. They were divided into 2 subgroups depending on the stroke duration: a sub-acute group (35 patients) and a chronic group (47 patients). ESWT was applied over knee and ankle flexor muscle belly with the following setup parameters: energy: 0.068–0.093 mJ/mm; frequency: 5 Hz; number of shots: 1500. Modified Ashworth score, clonus score, 3-minute walk test, range of motion angle of both knee and ankle joint, and Fugl-Meyer Assessment were established at baseline, after the 1st session, and at the 1st, 4th, and 8th week for the 2 groups.

Results
Regarding the sub-acute group, there was a statistically significant improvement in the modified Ashworth score, clonus score, 3-minute walk test, and range of motion angle of both knee and ankle joint after the 1st session and after the 1st week of intervention. The differences were not statistically significant after 4th or 8th week. The chronic group showed no statistically significant improvement after the 1st session or in the 1st, 4th, or 8th week assessment.

Conclusions
ESWT was more effective in treatment of spasticity in patients with sub-acute stroke compared with those with chronic stroke.

keywords:

stroke, spasticity, extracorporeal shockwave therapy

 
Quick links
© 2021 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe