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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Comparison of Therapeutic Ultrasound and Radial Shock Wave Therapy in the Treatment of Plantar Flexor Spasticity After Stroke: A Prospective, Single-blind, Randomized Clinical Trial
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Comparison of Therapeutic Ultrasound and Radial Shock Wave Therapy in the Treatment of Plantar Flexor Spasticity After Stroke: A Prospective, Single-blind, Randomized Clinical Trial

机译：治疗超声和径向冲击波治疗卒中后跖锐痉挛治疗的比较：前瞻性，单盲，随机临床试验

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Background: This study aimed to compare the effects of therapeutic ultrasound (US) and radial extracorporeal shock wave therapy (rESWT) in the treatment of plantar flexor spasticity after stroke. Materials and Methods: In this prospective, single-blind, randomized clinical trial, 32 patients (age range 42-78 years; male 19) with stroke were randomly divided into two groups: The US group (n = 16) received the continuous ultrasound, intensity 1.5 w/cm(2), frequency 1 MHz, and duration 10 minutes. The rESWT group (n = 16) was treated with rESWT, 0.340 mJ/mm(2), 2000 shots. Both groups received the treatments for 1 session. The H-reflex tests of H-max/M-max ratio and H-reflex latency, the Modified Modified Ashworth Scale (MMAS), active range of motion (AROM), passive range of motion (PROM), passive plantar flexor torque (PPFT), and the timed "up and go" test (TUG) were blinded assessed at baseline (T0), immediately post-treatment (T1), and one hour follow-up (T2). Results: The H-reflex tests did not improve across the groups. However, the MMAS spasticity scores, AROM and PROM, PPFT, and TUG improved significantly within groups. The results found no significant differences between groups for all outcome measures. Conclusions: The US and rESWT had similar effects, and the rESWT was not more effective than the US in improving ankle plantar flexor spasticity after stroke.
机译：背景：本研究旨在比较治疗超声（US）和径向体外冲击波治疗（RESWT）在中风后跖锐痉挛治疗的影响。材料和方法：在这一前瞻性，单盲，随机临床试验中，32名患者（42-78岁;男性19）随机分为两组：美国组（n = 16）接受连续超声波，强度1.5 W / cm（2），频率1 MHz和持续时间10分钟。 RESWT组（n = 16）用RESWT，0.340mJ / mm（2），2000次射击处理。两组都收到了1次会议的治疗。 H-MAX / M-MAX比率和H-Reflex延迟的H-Reflex检验，改进的修饰Ashworth秤（MMAS），主动运动范围（AROM），动作的被动范围（PROM），被动Plantar屈肌扭矩（ PPFT）和定时的“向上和GO”测试（Tug）在基线（T0）时致盲，立即治疗（T1），一小时随访（T2）。结果：H-Reflex测试在组中没有改善。然而，MMAS痉挛分数，芳香和舞会，PPFT和拖船在群体内显着改善。结果发现所有结果措施的群体之间没有显着差异。结论：美国和RESWT具有类似的效果，并且RESWT并不比美国在中风后改善踝关节骨骼屈肌痉挛更有效。

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