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体外冲击波对偏瘫患者上肢痉挛的疗效观察①

林歆 丛芳 吴琼 芦海涛

中国康复理论与实践Issue(8):755-758,4.
中国康复理论与实践Issue(8):755-758,4.DOI:10.3969/j.issn.1006-9771.2013.08.011

体外冲击波对偏瘫患者上肢痉挛的疗效观察①

Effect of Extracorporeal Shock Wave on Upper Limb Spasticity of Hemiplegic Patients

林歆 1丛芳 2吴琼 1芦海涛2

作者信息

  • 1. 首都医科大学康复医学院,北京市100068
  • 2. 中国康复研究中心北京博爱医院理疗科,北京市100068
  • 折叠

摘要

Abstract

Objective To observe the effect of extracorporeal shock wave therapy (ESWT) on upper limb spasticity of hemiplegic pa-tients. Methods 30 hemiplegic patients with upper extremity spasticity were divided into ESWT group (n=15) and control group (n=15). Routine rehabilitation therapy was administrated in two groups. Furthermore, ESWT group received 4 sessions (once a week) of ESWT. The modified Ashworth scale (MAS) and Fugl-Meyer assessment (FMA) were used in evaluation at different time points: pre-treatment, each treatment and follow-up 4 weeks after treatment. Results The scores of MAS decreased and the scores of FMA increased in the ESWT group since the 1st session (P<0.05), only in the control group after the 4th session (P<0.05). Compared to the control group, the scores of MAS decreased in the ESWT group (P<0.01) since the 1st ESWT and the scores of FMA increased since the 4th session (P<0.01). There was no side effect associated with ESWT. Conclusion EWST is effective, sustained and safe on upper limb spasticity of hemiplegics.

关键词

体外冲击波/痉挛/上肢/偏瘫

Key words

extracorporeal shock wave/spasticity/upper extremity/hemiplegia

分类

医药卫生

引用本文复制引用

林歆,丛芳,吴琼,芦海涛..体外冲击波对偏瘫患者上肢痉挛的疗效观察①[J].中国康复理论与实践,2013,(8):755-758,4.

基金项目

中央级公益性科研院所基本科研业务费专项基金(No.2012CZ-43)。 (No.2012CZ-43)

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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