1. Radial extracorporeal shock wave therapy as an additional treatment modality for spastic equinus deformity in chronic hemiplegic patients. A randomized controlled study.
- Author
-
Nada, Doaa Waseem, El Sharkawy, Amira Mohamed, Elbarky, Elham Mahmoud, Rageh, El Sayed Mohamed, and Allam, Abdallah El Sayed
- Subjects
- *
REPEATED measures design , *DORSIFLEXION , *STRETCH (Physiology) , *MEASUREMENT of angles (Geometry) , *T-test (Statistics) , *DATA analysis , *HEMIPLEGIA , *STATISTICAL sampling , *BLIND experiment , *EXERCISE therapy , *TREATMENT effectiveness , *RANDOMIZED controlled trials , *DESCRIPTIVE statistics , *ORAL drug administration , *CHI-squared test , *DIAGNOSIS , *GAIT in humans , *SPASTICITY , *LONGITUDINAL method , *PHENYLPROPANOLAMINE , *ELECTROMYOGRAPHY , *COMBINED modality therapy , *STROKE rehabilitation , *ANALYSIS of variance , *STATISTICS , *STROKE , *EQUINUS deformity , *ULTRASONIC therapy , *STROKE patients , *COMPARATIVE studies , *DATA analysis software , *RANGE of motion of joints , *ACTIVITIES of daily living , *DISEASE complications - Abstract
Purpose: To evaluate the effectiveness of radial extracorporeal shock wave therapy (r ESWT) as an additional treatment modality for spastic equinus deformity in chronic hemiplegic patients. Methods: 100 eligible stroke patients with calf muscles spasticity were randomized into 2 groups. Group I: 50 patients exposed to rESWT 1.500 pulses, 0.10 mJ to 0.3mJ/mm2, with a frequency 4 Hz once weekly for one month. Group II: 50 patients exposed to Sham rESWT once weekly for one month. Clinical, electrophysiological & musculoskeletal ultrasound assessments were done for all patients. Results: After controlling baseline as covariate, the trend for modified Ashworth scale (MAS), Passive ankle dorsiflexion motion (PADFM), 10 meters walk test (10-MWT), and Ratio of maximum H reflex to maximum M response (H/M ratio) after one & two months was significantly different between the two groups, with improvement of all clinical and electrophysiological parameters in group I. Conclusion: ESWT represents a useful non-invasive, additional modality for the reduction of foot spasticity and equinus deformity in stroke patients. Implications for Rehabilitation: Extracorporeal shock wave therapy represents a useful non-invasive, additional modality for reduction of foot spasticity and equinus deformity in chronic stroke patients. The application of such a modality improves limb posture, range of motion, and muscle extensibility. Early extracorporeal shock wave rehabilitative intervention in stroke patients reduces fat infiltration and fibrosis replacement of spastic muscle. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF